go back

Maryland 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 $43 · 10th–90th $43$850%50%90th$43Professionalmedian $269 · 10th–90th $48$5890%5%10th90th$269$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
$42.66 / $42.66 / $85.11
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$288.40 / $398.11 / $1,905.46
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$41.69 / $63.10 / $144.54
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$245.47 / $323.59 / $870.96
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $346.74 / $389.05
CareFirst
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$46.77 / $52.48 / $57.54
CareFirst
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$295.12 / $331.13 / $338.84
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $371.54 / $676.08
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$38.02 / $54.95 / $93.33
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$229.09 / $323.59 / $691.83
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $416.87 / $724.44
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$48.98 / $58.88 / $93.33
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$295.12 / $354.81 / $630.96
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $389.05 / $776.25
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$40.74 / $48.98 / $102.33
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$223.87 / $338.84 / $676.08
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $416.87 / $562.34
Wellpoint
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$39.81 / $58.88 / $74.13
Wellpoint
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$245.47 / $354.81 / $489.78