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See a sample rate comparisonCPT 78121 Fee Schedule
Medicare rates as of October 2026
CPT 78121 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 | $97.53 national non-facility rate (2026) · View Medicare rates for 78121 |
| Medicaid Fee Schedule | $78.36 median of the 8 states in the free preview · View Medicaid rates for 78121 |
National average reimbursement for CPT 78121 by major payers:
$104.01
BCBS / Anthem
$106.87
UnitedHealthcare
$97.17
Aetna
$127.47
Cigna
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CPT 78121
5 of 25 sample ratesHigher to lower in this preview
Leah Leonhardt
Radiology Associates Of North Texas, PA
$267.98Published rateTamarah Fratianni
Northern Arizona Healthcare Corporation
$174.58Published rateChildrens National Medical Center
Childrens Hospital
$97.37Published rateAlexander Kelley
Radiology Associates Of North Texas, PA
$41.50Published rateDouglas Wright
Radiology Associates Of North Texas, PA
$11.96Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 78121 vs. Other Nuclear Medicine Procedures Codes
The table lists codes related to 78121. 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. |
| 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. |
| 78121-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 78121. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 78121 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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