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Wyoming 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 $49 · 10th–90th $49–$490%50%100%$49Professionalmedian $562 · 10th–90th $51–$1,3490%10%10th90th$562$50.0$100.0$200.0$500.0$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
$48.98 / $48.98 / $48.98
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$389.05 / $851.14 / $851.14
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$51.29 / $51.29 / $125.89
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$338.84 / $724.44 / $724.44
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$870.96 / $1,348.96 / $1,348.96
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$125.89 / $194.98 / $194.98
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$741.31 / $1,148.15 / $1,148.15
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$457.09 / $616.60 / $954.99
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$69.18 / $93.33 / $134.90
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$389.05 / $524.81 / $812.83
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $616.60 / $1,202.26
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$43.65 / $83.18 / $165.96
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$257.04 / $524.81 / $1,000.00