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New York 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 $69 · 10th–90th $32$1620%10%20%10th90th$69Professionalmedian $275 · 10th–90th $49$6760%5%10th90th$275$10.0$50.0$200.0$1.0K$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
$32.36 / $69.18 / $162.18
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $389.05 / $1,047.13
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$41.69 / $60.26 / $134.90
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$208.93 / $331.13 / $741.31
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $363.08 / $933.25
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$40.74 / $53.70 / $114.82
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$239.88 / $309.03 / $724.44
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $467.74 / $549.54
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$12.30 / $56.23 / $81.28
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $562.34 / $1,584.89
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$35.48 / $77.62 / $263.03
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$239.88 / $562.34 / $1,348.96
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $478.63 / $741.31
Emblem Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$50.12 / $67.61 / $104.71
Emblem Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$323.59 / $416.87 / $630.96
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $346.74 / $630.96
Excellus BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$40.74 / $66.07 / $93.33
Excellus BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$83.18 / $295.12 / $549.54
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$389.05 / $389.05 / $602.56
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$46.77 / $58.88 / $109.65
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$457.09 / $537.03 / $575.44
MVP Health Care
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$58.88 / $72.44 / $74.13
MVP Health Care
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$398.11 / $467.74 / $512.86
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$288.40 / $446.68 / $1,023.29
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$43.65 / $61.66 / $154.88
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$263.03 / $398.11 / $1,047.13
Univera
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$40.74 / $53.70 / $177.83
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $426.58 / $812.83
Univera
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$40.74 / $66.07 / $165.96
Univera
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$208.93 / $363.08 / $758.58