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Montana 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 $78 · 10th–90th $78–$950%20%40%90th$78Professionalmedian $355 · 10th–90th $52–$7240%10%10th90th$355$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $478.63 / $1,905.46
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$48.98 / $67.61 / $169.82
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$309.03 / $416.87 / $724.44
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $77.62 / $549.54
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$77.62 / $77.62 / $95.50
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $549.54 / $1,071.52
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$41.69 / $77.62 / $147.91
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$251.19 / $467.74 / $912.01
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$588.84 / $602.56 / $3,090.30
Providence
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$77.62 / $77.62 / $95.50
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$371.54 / $524.81 / $707.95
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$51.29 / $70.79 / $100.00
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$316.23 / $457.09 / $602.56
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $338.84 / $676.08
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$44.67 / $47.86 / $91.20
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$257.04 / $295.12 / $588.84