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Wisconsin 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 $71 · 10th–90th $50–$1660%20%10th90th$71Professionalmedian $87 · 10th–90th $87–$870%50%100%$87$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
$50.12 / $50.12 / $70.79
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$89.13 / $102.33 / $165.96
Quartz
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$100.00 / $213.80 / $213.80
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$87.10 / $87.10 / $87.10