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New York 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 $102 · 10th–90th $55$2240%20%10th90th$102Professionalmedian $372 · 10th–90th $63$8510%10%20%10th90th$372$10.0$50.0$200.0$1.0K$5.0K$20.0K

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
$63.10 / $102.33 / $223.87
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $501.19 / $1,548.82
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$56.23 / $74.13 / $177.83
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$338.84 / $398.11 / $933.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $501.19 / $1,318.26
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$53.70 / $67.61 / $158.49
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$346.74 / $426.58 / $1,000.00
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$97.72 / $588.84 / $691.83
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$16.22 / $75.86 / $109.65
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$371.54 / $851.14 / $1,995.26
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$50.12 / $102.33 / $309.03
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$316.23 / $776.25 / $1,659.59
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$436.52 / $602.56 / $912.01
Emblem Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$66.07 / $89.13 / $138.04
Emblem Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$416.87 / $512.86 / $812.83
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $436.52 / $794.33
Excellus BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$54.95 / $79.43 / $125.89
Excellus BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$97.72 / $371.54 / $676.08
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$85.11 / $134.90 / $144.54
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$575.44 / $676.08 / $741.31
MVP Health Care
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$81.28 / $97.72 / $102.33
MVP Health Care
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$501.19 / $575.44 / $630.96
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$389.05 / $562.34 / $1,380.38
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$58.88 / $83.18 / $234.42
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$354.81 / $489.78 / $1,318.26
Univera
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$52.48 / $72.44 / $87.10
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $489.78 / $912.01
Univera
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$51.29 / $83.18 / $141.25
Univera
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$295.12 / $416.87 / $776.25