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Wisconsin 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
Facility
Modifier
26
Low / Median / High Price
$44.67 / $44.67 / $63.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $213.80 / $363.08
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $281.84 / $1,258.93
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$79.43 / $93.33 / $147.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $831.76 / $933.25
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $501.19 / $630.96
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $426.58 / $1,548.82
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $257.04
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $549.54 / $851.14
Quartz
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$100.00 / $190.55 / $190.55
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $1,258.93 / $1,548.82
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $1,445.44 / $1,905.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $354.81 / $954.99