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Virginia 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 $59 · 10th–90th $30–$2400%10%10th90th$59Professionalmedian $43 · 10th–90th $32–$710%20%10th90th$43$50.0$100.0$200.0

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
Facility
Modifier
26
Typical Low / Median / Typical High
$30.20 / $58.88 / $239.88
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$32.36 / $42.66 / $44.67
Medcost
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$57.54 / $57.54 / $79.43