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California 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 $93 · 10th–90th $48$3160%10%20%10th90th$93Professionalmedian $309 · 10th–90th $50$1,0230%5%10th90th$309$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$47.86 / $93.33 / $309.03
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $389.05 / $1,905.46
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$43.65 / $58.88 / $218.78
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$257.04 / $338.84 / $1,230.27
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$63.10 / $77.62 / $269.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $489.78 / $1,174.90
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$57.54 / $81.28 / $162.18
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$295.12 / $407.38 / $1,047.13
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$389.05 / $512.86 / $1,318.26
Blue Shield
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$53.70 / $72.44 / $177.83
Blue Shield
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$331.13 / $446.68 / $1,148.15
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $457.09 / $1,023.29
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$45.71 / $64.57 / $138.04
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$269.15 / $407.38 / $891.25
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$457.09 / $457.09 / $616.60
Contra Costa Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$56.23 / $56.23 / $75.86
Contra Costa Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$398.11 / $398.11 / $549.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $446.68 / $870.96
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$48.98 / $64.57 / $117.49
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$316.23 / $416.87 / $758.58
Lucent Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$316.23 / $316.23 / $316.23
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,344.23 / $2,884.03 / $2,884.03
Lucent Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$398.11 / $398.11 / $398.11
Lucent Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$2,041.74 / $2,454.71 / $2,454.71
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $281.84 / $331.13
Providence
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$41.69 / $41.69 / $41.69
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $457.09 / $1,023.29
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$45.71 / $64.57 / $138.04
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$275.42 / $407.38 / $891.25
Sutter Health Plus
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,318.26 / $1,318.26 / $1,318.26
Sutter Health Plus
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$169.82 / $169.82 / $169.82
Sutter Health Plus
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$1,148.15 / $1,148.15 / $1,148.15
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $407.38 / $1,148.15
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$41.69 / $58.88 / $151.36
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$218.78 / $346.74 / $1,000.00