go back

New York 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 $47 · 10th–90th $22–$1000%20%10th90th$47Professionalmedian $240 · 10th–90th $155–$5750%10%10th90th$240$10.0$50.0$200.0$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$21.88 / $47.86 / $100.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $239.88 / $616.60
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $204.17 / $501.19
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $316.23 / $363.08
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$7.41 / $34.67 / $50.12
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $346.74 / $1,071.52
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $331.13 / $512.86
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $229.09 / $426.58
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $354.81 / $389.05
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $288.40 / $724.44
Univera
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$25.12 / $32.36 / $107.15
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $288.40 / $489.78