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See a sample rate comparisonCPT 78111 Fee Schedule
CPT 78111 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 | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | 26 - Professional component 52 - Reduced Services |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 78111 |
| Medicaid Fee Schedule | $76.24 median of the 8 states in the free preview · View Medicaid rates for 78111 |
National average reimbursement for CPT 78111 by major payers:
$97.13
BCBS / Anthem
$98.85
UnitedHealthcare
$91.18
Aetna
$119.49
Cigna
Compare published rates across providers.
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CPT 78111
5 of 25 sample ratesHigher to lower in this preview
Gregory Schaiberger
Radiology Associates Of North Texas, PA
$252.63Published rateMichael Mirzoyan
Northern Arizona Healthcare Corporation
$162.00Published rateAlyssa Norman
Northern Arizona Healthcare Corporation
$106.54Published rateWilliam Zimmer
Radiology Associates Of North Texas, PA
$56.45Published rateAnanya Das
Northern Arizona Healthcare Corporation
$8.27Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 78111 vs. Other Nuclear Medicine Procedures Codes
The table lists codes related to 78111. 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 78111. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 78111 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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