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Wyoming 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
$80.19 / $80.19 / $81.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$612.21 / $612.21 / $690.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,689.00 / $1,689.00 / $2,775.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$947.62 / $947.62 / $1,868.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.77 / $1,261.70 / $2,238.48