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Nebraska 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 $151 · 10th–90th $102$4470%20%10th90th$151Professionalmedian $288 · 10th–90th $50$1,9050%5%10%10th90th$288$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
$102.33 / $151.36 / $446.68
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $524.81 / $2,238.72
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$45.71 / $109.65 / $245.47
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$257.04 / $309.03 / $1,949.84
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$588.84 / $616.60 / $660.69
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$87.10 / $91.20 / $97.72
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$512.86 / $562.34 / $1,445.44
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$275.42 / $275.42 / $275.42
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$645.65 / $794.33 / $1,023.29
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$95.50 / $114.82 / $144.54
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$549.54 / $691.83 / $870.96
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$234.42 / $234.42 / $234.42
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$363.08 / $575.44 / $2,344.23
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$61.66 / $91.20 / $380.19
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$380.19 / $501.19 / $2,041.74
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$660.69 / $776.25 / $812.83
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$97.72 / $109.65 / $123.03
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$562.34 / $645.65 / $691.83
Midlands
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$275.42 / $275.42 / $275.42
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$758.58 / $758.58 / $812.83
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$112.20 / $112.20 / $123.03
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$645.65 / $645.65 / $691.83
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$436.52 / $660.69 / $933.25
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$63.10 / $97.72 / $131.83
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$380.19 / $588.84 / $794.33