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Wisconsin rates for HCPCS 78831

Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), minimum 2 areas (eg, pelvis and knees, chest and abdomen) or separate acquisitions (eg, lung ventilation and perfusion), single day imaging, or single area or acquisition over 2 or more days

Facilitymedian $178 · 10th–90th $126–$4070%20%10th90th$178Professionalmedian $933 · 10th–90th $562–$2,6300%10%10th90th$933$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
$125.89 / $125.89 / $177.83
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$512.86 / $645.65 / $1,000.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$630.96 / $977.24 / $3,715.35
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$218.78 / $257.04 / $407.38
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$977.24 / $2,344.23 / $2,630.27
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,258.93 / $1,479.11 / $1,778.28
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$741.31 / $1,380.38 / $4,365.16
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
$977.24 / $1,096.48 / $2,344.23
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$977.24 / $1,479.11 / $2,187.76
Quartz
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$194.98 / $524.81 / $524.81
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,023.29 / $3,467.37 / $4,365.16
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,737.80 / $1,737.80 / $1,737.80
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$218.78 / $218.78 / $218.78
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,659.59 / $4,073.80 / $5,248.07
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$741.31 / $1,348.96 / $2,884.03