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Utah 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 $58 · 10th–90th $58$580%50%$58Professionalmedian $120 · 10th–90th $42$4370%10%10th90th$120$10.0$50.0$200.0$1.0K

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
Facility
Modifier
26
Typical Low / Median / Typical High
$57.54 / $57.54 / $57.54
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $371.54 / $489.78
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$9.33 / $50.12 / $120.23
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$257.04 / $316.23 / $398.11
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$371.54 / $446.68 / $630.96
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$58.88 / $72.44 / $93.33
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$302.00 / $380.19 / $537.03
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $60.26 / $575.44
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$2,398.83 / $2,398.83 / $2,398.83
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$512.86 / $676.08 / $724.44
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$74.13 / $107.15 / $114.82
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$446.68 / $562.34 / $602.56
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $512.86 / $933.25
Select Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$52.48 / $79.43 / $131.83
Select Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$295.12 / $436.52 / $794.33
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $380.19 / $588.84
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $416.87 / $660.69
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$44.67 / $56.23 / $89.13
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$257.04 / $346.74 / $575.44