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New Jersey 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 $170 · 10th–90th $45–$3090%10%10th90th$170Professionalmedian $282 · 10th–90th $48–$5620%5%10th90th$282$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$44.67 / $169.82 / $309.03
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $363.08 / $851.14
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$41.69 / $52.48 / $131.83
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$257.04 / $316.23 / $630.96
AmeriHealth
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$57.54 / $57.54 / $151.36
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $426.58 / $741.31
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$37.15 / $63.10 / $107.15
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$223.87 / $363.08 / $645.65
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$478.63 / $478.63 / $478.63
Emblem Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$66.07 / $66.07 / $66.07
Emblem Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$416.87 / $416.87 / $416.87
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $407.38 / $660.69
Horizon BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$42.66 / $50.12 / $91.20
Horizon BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$309.03 / $363.08 / $575.44
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $436.52 / $758.58
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$42.66 / $61.66 / $104.71
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$245.47 / $389.05 / $660.69