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Washington, DC rates for HCPCS 78830

Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT) with concurrently acquired computed tomography (CT) transmission scan for anatomical review, localization and determination/detection of pathology, single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging

Facilitymedian $145 · 10th–90th $59–$4270%20%10th90th$145Professionalmedian $302 · 10th–90th $56–$6030%5%10%10th90th$302$20.0$50.0$100.0$200.0$500.0$1.0K$2.0K

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
$58.88 / $144.54 / $426.58
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$363.08 / $416.87 / $691.83
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$53.70 / $70.79 / $190.55
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$302.00 / $363.08 / $602.56
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$416.87 / $1,047.13 / $1,380.38
CareFirst
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$70.79 / $70.79 / $70.79
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$512.86 / $1,174.90 / $2,454.71
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$56.23 / $109.65 / $323.59
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$436.52 / $1,000.00 / $2,137.96
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$467.74 / $537.03 / $1,047.13
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$67.61 / $77.62 / $144.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$398.11 / $457.09 / $891.25
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$426.58 / $741.31 / $1,548.82
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$56.23 / $97.72 / $218.78
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$363.08 / $630.96 / $1,348.96