go back

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $316.23 / $575.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $47.86 / $363.08
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$47.86 / $47.86 / $58.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $194.98 / $707.95
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $407.38 / $891.25
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$47.86 / $47.86 / $58.88
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $331.13 / $446.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $229.09 / $446.68