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Vermont 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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$773.45 / $773.45 / $796.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$949.83 / $1,000.13 / $2,816.12
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$949.83 / $1,000.13 / $2,816.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$697.98 / $1,046.01 / $1,538.01