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Pennsylvania 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 $132 · 10th–90th $55–$1820%10%10th90th$132$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
$54.95 / $131.83 / $181.97
Martin's Point
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$44.67 / $134.90 / $169.82
UPMC Health Plan
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$45.71 / $61.66 / $61.66