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West 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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$81.56 / $81.56 / $81.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$592.40 / $643.27 / $796.99
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$96.65 / $96.65 / $96.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$750.29 / $771.24 / $2,954.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.77 / $661.19 / $1,234.23