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Michigan 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 $59 · 10th–90th $59–$620%50%90th$59Professionalmedian $275 · 10th–90th $48–$6170%5%10%10th90th$275$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
$58.88 / $58.88 / $61.66
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $398.11 / $870.96
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$43.65 / $58.88 / $177.83
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$257.04 / $338.84 / $724.44
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $501.19 / $537.03
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$79.43 / $79.43 / $79.43
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $398.11 / $776.25
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$34.67 / $60.26 / $107.15
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$239.88 / $398.11 / $660.69
Health Alliance Plan
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$58.88 / $58.88 / $117.49
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $389.05 / $776.25
Health Alliance Plan
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$40.74 / $58.88 / $138.04
Health Alliance Plan
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$234.42 / $338.84 / $676.08
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $426.58 / $776.25
Priority Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$45.71 / $85.11 / $107.15
Priority Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$281.84 / $457.09 / $724.44
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $371.54 / $537.03
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$50.12 / $57.54 / $81.28
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$263.03 / $316.23 / $446.68