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New Mexico 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 $95 · 10th–90th $85–$1200%20%10th90th$95Professionalmedian $380 · 10th–90th $65–$9120%5%10%10th90th$380$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
$85.11 / $95.50 / $120.23
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $537.03 / $2,041.74
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$52.48 / $74.13 / $269.15
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$302.00 / $436.52 / $912.01
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $295.12 / $501.19
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$524.81 / $707.95 / $954.99
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$79.43 / $107.15 / $158.49
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$446.68 / $602.56 / $794.33
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $354.81
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$524.81 / $707.95 / $954.99
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$79.43 / $107.15 / $158.49
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$446.68 / $602.56 / $794.33
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$407.38 / $446.68 / $1,000.00
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$58.88 / $64.57 / $144.54
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$346.74 / $389.05 / $851.14