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Illinois rates for HCPCS 78801

Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, 2 or more areas (eg, abdomen and pelvis, head and chest), 1 or more days imaging or single area imaging over 2 or more days

Facilitymedian $66 · 10th–90th $32–$1000%20%10th90th$66Professionalmedian $54 · 10th–90th $35–$2450%5%10%10th90th$54$50.0$100.0$200.0$500.0

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
$32.36 / $66.07 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$35.48 / $53.70 / $245.47
Hally Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00