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Idaho 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 $126 · 10th–90th $71$1580%20%40%10th90th$126Professionalmedian $372 · 10th–90th $55$7240%5%10%10th90th$372$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
$70.79 / $125.89 / $131.83
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $478.63 / $812.83
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$50.12 / $58.88 / $112.20
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$323.59 / $416.87 / $691.83
BCBS
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$2,511.89 / $2,511.89 / $2,511.89
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$524.81 / $616.60 / $891.25
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$79.43 / $93.33 / $117.49
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$436.52 / $524.81 / $645.65
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $562.34 / $724.44
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$58.88 / $77.62 / $100.00
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$275.42 / $478.63 / $616.60
Moda Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$70.79 / $125.89 / $158.49
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$478.63 / $588.84 / $851.14
Moda Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$60.26 / $87.10 / $114.82
Moda Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$457.09 / $501.19 / $691.83
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $33.11
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$2,511.89 / $2,511.89 / $2,511.89
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$676.08 / $707.95 / $776.25
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$93.33 / $100.00 / $102.33
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$575.44 / $616.60 / $676.08
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $309.03 / $977.24
Select Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$46.77 / $46.77 / $107.15
Select Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$263.03 / $263.03 / $3,388.44
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $363.08 / $676.08
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$43.65 / $56.23 / $102.33
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$257.04 / $309.03 / $562.34