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New Jersey 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 $324 · 10th–90th $178$4370%20%10th90th$324Professionalmedian $380 · 10th–90th $62$6460%10%10th90th$380$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0K

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
$177.83 / $323.59 / $436.52
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $457.09 / $741.31
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$56.23 / $67.61 / $158.49
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$338.84 / $398.11 / $891.25
AmeriHealth
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$57.54 / $72.44 / $190.55
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $602.56 / $1,047.13
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$48.98 / $85.11 / $144.54
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$302.00 / $512.86 / $912.01
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$602.56 / $602.56 / $602.56
Emblem Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$89.13 / $89.13 / $89.13
Emblem Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$512.86 / $512.86 / $512.86
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$436.52 / $512.86 / $891.25
Horizon BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$58.88 / $69.18 / $117.49
Horizon BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$380.19 / $446.68 / $776.25
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $575.44 / $1,023.29
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$57.54 / $83.18 / $141.25
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$338.84 / $512.86 / $870.96