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See a sample rate comparisonCPT 78350 Fee Schedule
CPT 78350 is classified under Radiology Procedures, in the Nuclear Medicine Procedures subgroup.
Bone Density (Bone Mineral Con, Bone Density (Bone Mineral Content) Study One Or Moresites Single Photon Absorptiometry Bone Density (Bone Mineral Content) Study One Or More
| Key Fact | Detail |
|---|---|
| Service Type | Radiology Procedures Nuclear Medicine Procedures |
| Common Place of Service | 11 - Office 22 - On Campus Outpatient Hospital |
| Common Modifiers | 26 - Professional component 52 - Reduced Services |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 78350 |
| Medicaid Fee Schedule | $27.56 median of the 8 states in the free preview · View Medicaid rates for 78350 |
National average reimbursement for CPT 78350 by major payers:
$41.57
BCBS / Anthem
$38.84
UnitedHealthcare
$36.90
Aetna
$47.43
Cigna
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CPT 78350
5 of 25 sample ratesHigher to lower in this preview
Daniel Bennett
Radiology Associates Of North Texas, PA
$83.91Published rateChristopher Raio
St Francis Hospital
$43.25Published rateAndrzej Kudelka
Northern Arizona Healthcare Corporation
$37.79Published rateChristopher Raio
St Francis Hospital
$26.45Published rateMacy Bosshard
Town Center Orthopaedic Associates, P.C.
$12.27Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 78350 vs. Other Nuclear Medicine Procedures Codes
The table lists codes related to 78350. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 78300-CPT | Moderate | Bone And Joint Scan, A Bone And/Or Joint Scan Uses A Radioactive Substance To Highlight Areas On Images. Typically The Area Of The Scan Is Narrow But A Series Of Scans May Also Be Taken. |
| 78305-CPT | Moderate | Bone And Joint Scan, A Bone And/Or Joint Scan Uses A Radioactive Substance To Highlight Areas On Images. Typically The Area Of The Scan Is Narrow But A Series Of Scans May Also Be Taken. |
| 78306-CPT | Moderate | Bone And Joint Scan, A Bone And/Or Joint Scan Uses A Radioactive Substance To Highlight Areas On Images. Typically The Area Of The Scan Is Narrow But A Series Of Scans May Also Be Taken. |
| 78350-CPT | Low | Bone Density (Bone Mineral Con, Bone Density (Bone Mineral Content) Study One Or Moresites Single Photon Absorptiometry Bone Density (Bone Mineral Content) Study One Or More |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 78350. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 78350 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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