go back

Montana 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 $105 · 10th–90th $105$1290%20%40%90th$105Professionalmedian $389 · 10th–90th $66$9120%10%10th90th$389$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$467.74 / $602.56 / $2,041.74
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$64.57 / $74.13 / $177.83
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$398.11 / $478.63 / $912.01
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$104.71 / $104.71 / $691.83
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$104.71 / $104.71 / $128.82
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$524.81 / $691.83 / $1,348.96
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$46.77 / $79.43 / $199.53
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$436.52 / $575.44 / $1,148.15
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$741.31 / $776.25 / $831.76
Providence
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$104.71 / $104.71 / $128.82
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$478.63 / $660.69 / $954.99
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$70.79 / $97.72 / $141.25
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$407.38 / $575.44 / $831.76
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$426.58 / $436.52 / $851.14
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$61.66 / $64.57 / $123.03
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$363.08 / $380.19 / $741.31