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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

Facilitymedian $74 · 10th–90th $33–$1910%20%10th90th$74$10.0$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
$33.11 / $74.13 / $190.55
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$11.22 / $52.48 / $75.86
Univera
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$38.02 / $50.12 / $165.96