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Wisconsin 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 $105 · 10th–90th $76$2450%20%10th90th$105Professionalmedian $309 · 10th–90th $49$1,0000%5%10th90th$309$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
$75.86 / $75.86 / $104.71
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $371.54 / $630.96
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$38.02 / $58.88 / $162.18
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$245.47 / $323.59 / $562.34
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $501.19 / $1,905.46
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$48.98 / $75.86 / $269.15
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$295.12 / $426.58 / $1,621.81
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$131.83 / $154.88 / $245.47
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$524.81 / $1,230.27 / $1,412.54
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$74.13 / $177.83 / $204.17
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$446.68 / $1,071.52 / $1,202.26
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$676.08 / $794.33 / $954.99
DeanCare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$97.72 / $114.82 / $138.04
DeanCare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$575.44 / $676.08 / $812.83
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $691.83 / $2,344.23
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$56.23 / $104.71 / $380.19
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$346.74 / $630.96 / $2,041.74
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $467.74
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$537.03 / $831.76 / $2,238.72
Network Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$70.79 / $123.03 / $186.21
Network Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$467.74 / $707.95 / $2,041.74
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$537.03 / $977.24 / $1,584.89
Quartz
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$117.49 / $316.23 / $316.23
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$549.54 / $1,905.46 / $2,344.23
Quartz
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$81.28 / $257.04 / $380.19
Quartz
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$467.74 / $1,659.59 / $2,041.74
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$933.25 / $933.25 / $933.25
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$131.83 / $131.83 / $131.83
Security Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$812.83 / $812.83 / $812.83
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$851.14 / $2,187.76 / $2,884.03
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$138.04 / $173.78 / $288.40
Security Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$660.69 / $776.25 / $1,698.24
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $616.60 / $2,238.72
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$58.88 / $117.49 / $380.19
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$346.74 / $537.03 / $1,348.96