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New Hampshire 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 $93 · 10th–90th $52$2000%20%10th90th$93Professionalmedian $316 · 10th–90th $52$7240%5%10th90th$316$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
$52.48 / $93.33 / $199.53
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $363.08 / $954.99
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$32.36 / $52.48 / $125.89
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$194.98 / $316.23 / $812.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $478.63 / $691.83
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$48.98 / $70.79 / $102.33
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$288.40 / $407.38 / $602.56
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $741.31 / $1,071.52
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$61.66 / $100.00 / $147.91
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$331.13 / $630.96 / $912.01
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$389.05 / $616.60 / $1,174.90
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$56.23 / $89.13 / $151.36
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$331.13 / $512.86 / $891.25
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$371.54 / $501.19 / $1,548.82
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$53.70 / $66.07 / $131.83
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$331.13 / $436.52 / $912.01