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Montana rates for HCPCS 78800

Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, single area (eg, head, neck, chest, pelvis), single day imaging

Facilitymedian $48 · 10th–90th $48–$590%20%40%90th$48Professionalmedian $316 · 10th–90th $209–$6170%10%10th90th$316$50.0$100.0$200.0$500.0$1.0K

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $316.23 / $616.60
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $47.86 / $363.08
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$47.86 / $47.86 / $58.88
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $323.59 / $707.95
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $407.38 / $891.25
Providence
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$47.86 / $47.86 / $58.88
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $331.13 / $446.68
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $229.09 / $446.68