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Alaska rates for HCPCS 78803

Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging

Facilitymedian $162 · 10th–90th $162$1620%50%100%$162Professionalmedian $316 · 10th–90th $50$1,0230%5%10%10th90th$316$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0K

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
$162.18 / $162.18 / $162.18
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$245.47 / $446.68 / $1,288.25
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$44.67 / $54.95 / $173.78
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$269.15 / $389.05 / $1,096.48
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$912.01 / $912.01 / $1,148.15
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$162.18 / $162.18 / $186.21
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$741.31 / $741.31 / $977.24
Moda Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$162.18 / $162.18 / $162.18
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$389.05 / $831.76 / $1,071.52
Moda Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$51.29 / $123.03 / $162.18
Moda Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$354.81 / $724.44 / $933.25
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,380.38 / $1,412.54 / $1,862.09
Premera BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$186.21 / $199.53 / $269.15
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$1,071.52 / $1,202.26 / $1,584.89
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $467.74 / $1,148.15
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$48.98 / $70.79 / $186.21
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$275.42 / $398.11 / $977.24
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$478.63 / $1,000.00 / $2,454.71
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$74.13 / $147.91 / $398.11
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$407.38 / $851.14 / $2,041.74