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Illinois 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 $83 · 10th–90th $60–$2000%10%10th90th$83Professionalmedian $363 · 10th–90th $65–$7940%5%10th90th$363$20.0$100.0$500.0$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
$60.26 / $83.18 / $199.53
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$389.05 / $501.19 / $1,479.11
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$58.88 / $79.43 / $234.42
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$316.23 / $398.11 / $707.95
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$66.07 / $66.07 / $85.11
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $302.00 / $933.25
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$380.19 / $616.60 / $933.25
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$57.54 / $93.33 / $147.91
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$331.13 / $524.81 / $851.14
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$380.19 / $630.96 / $2,884.03
Hally Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$69.18 / $95.50 / $398.11
Hally Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$346.74 / $501.19 / $1,737.80
Hally Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$501.19 / $512.86 / $549.54
Hally Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$74.13 / $81.28 / $87.10
Hally Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$398.11 / $416.87 / $467.74
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $33.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$457.09 / $630.96 / $933.25
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$69.18 / $93.33 / $147.91
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$389.05 / $537.03 / $794.33