go back

North Carolina 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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$42.30 / $58.50 / $82.78
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$53.38 / $53.38 / $53.38
Medcost
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$77.19 / $111.71 / $157.82
Wellcare
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$226.48 / $241.59 / $241.59