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Iowa 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 $89 · 10th–90th $44$1580%10%20%10th90th$89Professionalmedian $282 · 10th–90th $48$8130%5%10th90th$282$50.0$100.0$200.0$500.0$1.0K$2.0K

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
$43.65 / $89.13 / $107.15
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $416.87 / $1,737.80
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$41.69 / $58.88 / $234.42
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$245.47 / $323.59 / $741.31
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$165.96 / $165.96 / $165.96
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$794.33 / $812.83 / $1,023.29
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$114.82 / $114.82 / $144.54
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$676.08 / $707.95 / $870.96
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $489.78 / $2,344.23
Hally Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$50.12 / $83.18 / $245.47
Hally Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$281.84 / $416.87 / $2,089.30
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$158.49 / $234.42 / $234.42
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $562.34 / $1,148.15
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$51.29 / $60.26 / $380.19
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$251.19 / $363.08 / $2,041.74
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$676.08 / $794.33 / $1,122.02
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$100.00 / $114.82 / $199.53
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$575.44 / $645.65 / $912.01
Midlands
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$165.96 / $165.96 / $165.96
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$794.33 / $794.33 / $891.25
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$114.82 / $114.82 / $123.03
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$676.08 / $676.08 / $758.58
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $416.87 / $912.01
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$51.29 / $58.88 / $131.83
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$263.03 / $363.08 / $776.25
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$457.09 / $575.44 / $676.08
Wellmark
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$66.07 / $85.11 / $100.00
Wellmark
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$389.05 / $489.78 / $575.44