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Illinois 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 $87 · 10th–90th $43–$1380%20%10th90th$87Professionalmedian $78 · 10th–90th $49–$3310%10%10th90th$78$50.0$100.0$200.0$500.0

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
$42.66 / $87.10 / $138.04
Hally Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$48.98 / $77.62 / $331.13
Hally Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00