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See a sample rate comparisonCPT 78110 Fee Schedule
Medicare rates as of October 2026
CPT 78110 is classified under Radiology Procedures, in the Nuclear Medicine Procedures subgroup.
Blood Cell Study, This Study Evaluates One Or More Blood Components Such As Plasma And Blood Cells After Injection Of A Radioactive Material. The Test May Help To Detect A Blood Condition.
| Key Fact | Detail |
|---|---|
| Service Type | Radiology Procedures Nuclear Medicine Procedures |
| Common Place of Service | 11 - Office 21 - Inpatient Hospital 23 - Emergency Room 20 - Urgent Care Facility |
| Common Modifiers | KX - Requirements specified in the medical policy have been met TC - Technical component 26 - Professional component |
| Complexity Level | Low |
| Medicare Fee Schedule | $71.14 national non-facility rate (2026) · View Medicare rates for 78110 |
| Medicaid Fee Schedule | $56.98 median of the 8 states in the free preview · View Medicaid rates for 78110 |
National average reimbursement for CPT 78110 by major payers:
$90.76
BCBS / Anthem
$85.27
UnitedHealthcare
$82.97
Aetna
$106.39
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 78110.
CPT 78110
5 of 25 sample ratesHigher to lower in this preview
Ali Khalil
Dallas Nephrology Associates, P.A.
$71.82Published rateBindu Jayavelu
Southwest Kidney Institute Plc
$63.68Published rateSohail Riaz
Dallas Nephrology Associates, P.A.
$63.52Published rateBindu Jayavelu
Southwest Kidney Institute Plc
$50.57Published rateDivya Malladi
Southwest Kidney Institute, Plc
$7.36Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 78110 vs. Other Nuclear Medicine Procedures Codes
The table lists codes related to 78110. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 78110-CPT | Low | Blood Cell Study, This Study Evaluates One Or More Blood Components Such As Plasma And Blood Cells After Injection Of A Radioactive Material. The Test May Help To Detect A Blood Condition. |
| 78111-CPT | Low | Blood Cell Study, This Study Evaluates One Or More Blood Components Such As Plasma And Blood Cells After Injection Of A Radioactive Material. The Test May Help To Detect A Blood Condition. |
| 78120-CPT | Low | Blood Cell Study, This Study Evaluates One Or More Blood Components Such As Plasma And Blood Cells After Injection Of A Radioactive Material. The Test May Help To Detect A Blood Condition. |
| 78122-CPT | Low | Blood Cell Study, This Study Evaluates One Or More Blood Components Such As Plasma And Blood Cells After Injection Of A Radioactive Material. The Test May Help To Detect A Blood Condition. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 78110. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 78110 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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