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Virginia rates for HCPCS 78831

Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), minimum 2 areas (eg, pelvis and knees, chest and abdomen) or separate acquisitions (eg, lung ventilation and perfusion), single day imaging, or single area or acquisition over 2 or more days

Facilitymedian $105 · 10th–90th $74–$3310%20%10th90th$105Professionalmedian $676 · 10th–90th $537–$1,2020%10%20%10th90th$676$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$74.13 / $104.71 / $331.13
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$575.44 / $645.65 / $812.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$616.60 / $851.14 / $1,288.25
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $724.44 / $1,148.15
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$575.44 / $954.99 / $1,445.44
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$616.60 / $870.96 / $912.01
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$79.43 / $104.71 / $109.65
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,096.48 / $1,096.48 / $1,096.48
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$104.71 / $812.83 / $2,344.23
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$588.84 / $1,023.29 / $1,621.81