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Wisconsin rates for HCPCS 78802

Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, whole body, single day imaging

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$54.95 / $54.95 / $77.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $295.12 / $512.86
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $446.68 / $1,584.89
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$95.50 / $112.20 / $177.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $1,000.00 / $1,148.15
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $645.65 / $851.14
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $616.60 / $1,905.46
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $446.68
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $794.33 / $1,230.27
Quartz
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$100.00 / $234.42 / $234.42
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $1,513.56 / $1,905.46
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $1,778.28 / $2,344.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $549.54 / $1,258.93