go back

New York 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
$32.77 / $69.20 / $125.39
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$53.38 / $53.38 / $53.38
MVP Health Care
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$53.38 / $53.38 / $53.38
Univera
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$49.89 / $49.89 / $173.54