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Wisconsin 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 $141 · 10th–90th $100$3310%20%10th90th$141Professionalmedian $417 · 10th–90th $66$1,1750%5%10th90th$417$50.0$200.0$1.0K$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
$100.00 / $100.00 / $141.25
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$363.08 / $467.74 / $851.14
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$56.23 / $100.00 / $724.44
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$302.00 / $407.38 / $691.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$426.58 / $676.08 / $2,511.89
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$66.07 / $102.33 / $380.19
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$363.08 / $575.44 / $2,137.96
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$173.78 / $204.17 / $331.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$660.69 / $1,548.82 / $1,778.28
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$100.00 / $239.88 / $275.42
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$562.34 / $1,318.26 / $1,513.56
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$851.14 / $1,000.00 / $1,202.26
DeanCare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$131.83 / $154.88 / $186.21
DeanCare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$707.95 / $831.76 / $1,000.00
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$512.86 / $977.24 / $2,951.21
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$77.62 / $144.54 / $426.58
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$436.52 / $831.76 / $2,511.89
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $70.79
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$691.83 / $724.44 / $2,290.87
Network Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$97.72 / $114.82 / $251.19
Network Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$588.84 / $616.60 / $2,041.74
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$660.69 / $1,000.00 / $1,479.11
Quartz
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$154.88 / $426.58 / $426.58
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$691.83 / $2,398.83 / $2,951.21
Quartz
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$109.65 / $354.81 / $426.58
Quartz
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$575.44 / $2,041.74 / $2,511.89
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,174.90 / $1,174.90 / $1,174.90
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$177.83 / $177.83 / $177.83
Security Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$1,000.00 / $1,000.00 / $1,000.00
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,148.15 / $2,754.23 / $3,630.78
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$158.49 / $186.21 / $323.59
Security Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$933.25 / $1,096.48 / $1,949.84
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $870.96 / $2,290.87
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$79.43 / $173.78 / $524.81
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$436.52 / $776.25 / $1,698.24