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Wisconsin 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 $98 · 10th–90th $71–$2290%20%10th90th$98Professionalmedian $123 · 10th–90th $123–$1230%50%100%$123$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$70.79 / $70.79 / $97.72
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$123.03 / $144.54 / $229.09
Quartz
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$107.15 / $295.12 / $295.12
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$123.03 / $123.03 / $123.03