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See a sample rate comparisonCPT 78399 Fee Schedule
CPT 78399 is classified under Radiology Procedures, in the Nuclear Medicine Procedures subgroup.
Scan Of Body Structure, A Scan Of The Body Structure Makes Use Of A Radioactive Substance To Highlight Muscle And Bone.
| Key Fact | Detail |
|---|---|
| Service Type | Radiology Procedures Nuclear Medicine Procedures |
| Common Place of Service | 11 - Office |
| Common Modifiers | 59 - Distinct Procedural Service |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 78399 |
| Medicaid Fee Schedule | View Medicaid rates for 78399 |
National average reimbursement for CPT 78399 by major payers:
$1,366.72
BCBS / Anthem
$101.15
UnitedHealthcare
$637.98
Aetna
$579.43
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 78399.
CPT 78399
5 of 25 sample ratesHigher to lower in this preview
Franciscan Health System, St Joseph Medical Center
Franciscan Health System
$1,437.18Published rateMacon Northside Hospital, LLC, Piedmont Macon North Hospital
Macon Northside Hospital LLC
$920.33Published rateNorthwest Sahuarita Hospital LLC, Northwest Medical Center Sahuarita
Northwest Sahuarita Hospital LLC
$699.61Published rateMercy Hospitals East Communities, Mercy Hospital St Louis
Mercy Hospitals East Communities
$386.54Published rateWillis Knighton Medical Center, Inc.
Willis-Knighton Medical Center
$303.85Published rate
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See a sample payer proposalCPT 78399 vs. Other Nuclear Medicine Procedures Codes
The table lists codes related to 78399. 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. |
| 78399-CPT | High | Scan Of Body Structure, A Scan Of The Body Structure Makes Use Of A Radioactive Substance To Highlight Muscle And Bone. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 78399. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 78399 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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