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Hawaii 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 $56 · 10th–90th $50–$660%20%40%10th90th$56Professionalmedian $295 · 10th–90th $47–$6760%5%10th90th$295$50.0$100.0$200.0$500.0$1.0K

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
$50.12 / $56.23 / $66.07
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $316.23 / $851.14
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$32.36 / $50.12 / $141.25
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$194.98 / $275.42 / $724.44
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $501.19 / $758.58
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$61.66 / $66.07 / $109.65
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$263.03 / $436.52 / $645.65
HMSA
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$501.19 / $588.84 / $616.60
HMSA
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$69.18 / $70.79 / $72.44
HMSA
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$457.09 / $467.74 / $478.63
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$416.87 / $446.68 / $524.81
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$54.95 / $60.26 / $70.79
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$323.59 / $389.05 / $407.38
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $446.68 / $676.08
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$38.02 / $69.18 / $83.18
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$229.09 / $380.19 / $588.84
University Health Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$380.19 / $588.84 / $812.83
University Health Alliance
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$56.23 / $75.86 / $112.20
University Health Alliance
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$338.84 / $512.86 / $707.95