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Iowa 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 $41 · 10th–90th $41–$2240%50%90th$41Professionalmedian $98 · 10th–90th $48–$1950%10%20%10th90th$98$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
$40.74 / $40.74 / $269.15
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$162.18 / $162.18 / $162.18
Hally Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$46.77 / $79.43 / $165.96
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$158.49 / $223.87 / $223.87
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$93.33 / $107.15 / $194.98
Midlands
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$162.18 / $162.18 / $162.18