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California rates for HCPCS 78804

Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, whole body, requiring 2 or more days imaging

Facilitymedian $123 · 10th–90th $47–$2950%20%10th90th$123Professionalmedian $58 · 10th–90th $43–$980%10%10th90th$58$20.0$50.0$100.0$200.0

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
$46.77 / $93.33 / $288.40
Contra Costa Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$15.14 / $51.29 / $56.23
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$44.67 / $60.26 / $109.65
Lucent Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$295.12 / $295.12 / $295.12
Providence
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$38.90 / $38.90 / $38.90