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Nuclear Scan of a Brain Fluid Shunt

Nebraska rates for HCPCS 78645

A scan that checks whether a shunt, the tube implanted to drain excess fluid away from the brain, is working. A small amount of radioactive tracer is injected into the shunt's reservoir under the scalp and a camera follows it to see whether it travels freely along the tube to where it drains. Slow or absent movement points to a blockage.

Rates data updated July 2026.

How much rates vary

Facilitymedian $166 · 10th to 90th $81 to $251Professionalmedian $58 · 10th to 90th $51 to $65
$50$100$200facility $166professional $58

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$81.28
Median
$165.96
Typical High
$251.19
Cigna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$147.91
Median
$147.91
Typical High
$147.91
Medica
Setting
Facility
Modifier
26 · Professional part
Typical Low
$120.23
Median
$120.23
Typical High
$120.23
Midlands
Setting
Professional
Modifier
26 · Professional part
Typical Low
$51.29
Median
$57.54
Typical High
$64.57
Midlands
Setting
Facility
Modifier
26 · Professional part
Typical Low
$147.91
Median
$147.91
Typical High
$147.91