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See a sample rate comparisonCPT 78122 Fee Schedule
Medicare rates as of October 2026
CPT 78122 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 | MG - The order for this service does not have appropriate use criteria in the clinical decision support mechanism consulted by the ordering professional 26 - Professional component |
| Complexity Level | Low |
| Medicare Fee Schedule | $101.21 national non-facility rate (2026) · View Medicare rates for 78122 |
| Medicaid Fee Schedule | $81.34 median of the 8 states in the free preview · View Medicaid rates for 78122 |
National average reimbursement for CPT 78122 by major payers:
$123.45
BCBS / Anthem
$132.49
UnitedHealthcare
$119.19
Aetna
$157.20
Cigna
Compare published rates across providers.
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CPT 78122
5 of 25 sample ratesHigher to lower in this preview
Won Kim
Radiology Associates Of North Texas, PA
$318.26Published rateCharles Schmier
Northern Arizona Healthcare Corporation
$179.39Published rateHealth Imaging Partners, LLC
$62.91Published rateMelanie Nugent
Northern Arizona Healthcare Corporation
$38.40Published rateHamish Patel
Northern Arizona Healthcare Corporation
$18.39Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 78122 vs. Other Nuclear Medicine Procedures Codes
The table lists codes related to 78122. 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 78122. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 78122 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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