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Texas 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 $56 · 10th–90th $47$4270%20%10th90th$56Professionalmedian $339 · 10th–90th $58$6310%5%10%10th90th$339$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
$46.77 / $56.23 / $97.72
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $457.09 / $912.01
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$48.98 / $67.61 / $169.82
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$288.40 / $380.19 / $562.34
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$64.57 / $109.65 / $125.89
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $354.81 / $478.63
Baylor Scott & White
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $295.12 / $295.12
Christus
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$63.10 / $63.10 / $72.44
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $524.81 / $912.01
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$56.23 / $83.18 / $138.04
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$302.00 / $457.09 / $794.33
Lucent Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$426.58 / $426.58 / $426.58
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,951.21 / $3,548.13 / $3,548.13
Lucent Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$426.58 / $537.03 / $537.03
Lucent Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$2,511.89 / $3,019.95 / $3,019.95
Moda Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$46.77 / $61.66 / $89.13
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $616.60 / $1,318.26
Moda Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$52.48 / $95.50 / $177.83
Moda Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$302.00 / $537.03 / $1,122.02
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $309.03
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $489.78 / $891.25
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$53.70 / $75.86 / $134.90
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$288.40 / $446.68 / $794.33
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$407.38 / $489.78 / $758.58
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$58.88 / $70.79 / $109.65
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$346.74 / $426.58 / $645.65
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $398.11 / $416.87
Wellpoint
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$66.07 / $66.07 / $66.07
Wellpoint
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$338.84 / $338.84 / $354.81