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See a sample rate comparisonCPT 78351 Fee Schedule
CPT 78351 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 Dual 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 | 22 - On Campus Outpatient Hospital 11 - Office |
| Common Modifiers | 26 - Professional component GA - Required ABN issued and on file |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 78351 |
| Medicaid Fee Schedule | $20.495 median of the 8 states in the free preview · View Medicaid rates for 78351 |
National average reimbursement for CPT 78351 by major payers:
$22.90
BCBS / Anthem
$24.04
UnitedHealthcare
$19.55
Aetna
$25.63
Cigna
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CPT 78351
5 of 25 sample ratesHigher to lower in this preview
Bay Area Healthcare Group, Ltd., Corpus Christi Medical Center
$34.54Published rateKyle Murray
Northern Arizona Healthcare Corporation
$25.20Published rateWeatherford Health Services, LLC, Medical City Weatherford
Weatherford Health Services LLC
$21.37Published rateTh Healthcare, Ltd, Nacogdoches Medical Center
$15.35Published rateChristopher Mueller
Northern Arizona Healthcare Corporation
$13.50Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 78351 vs. Other Nuclear Medicine Procedures Codes
The table lists codes related to 78351. 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. |
| 78351-CPT | Low | Bone Density (Bone Mineral Con, Bone Density (Bone Mineral Content) Study One Or Moresites Dual 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 78351. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 78351 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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