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See a sample rate comparisonCPT 78610 Fee Schedule
CPT 78610 is classified under Radiology Procedures, in the Nuclear Medicine Procedures subgroup.
Scan Of Brain Blood Flow, A Radioactive Substance Is Given By Mouth Or Iv. This Highlights Brain Tissue And Blood Flow So That It Can Be More Easily Evaluated On A Scan.
| Key Fact | Detail |
|---|---|
| Service Type | Radiology Procedures Nuclear Medicine Procedures |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital 23 - Emergency Room |
| Common Modifiers | 26 - Professional component GC - Service performed by resident under supervision |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 78610 |
| Medicaid Fee Schedule | $129.635 median of the 8 states in the free preview · View Medicaid rates for 78610 |
National average reimbursement for CPT 78610 by major payers:
$202.79
BCBS / Anthem
$192.42
UnitedHealthcare
$189.46
Aetna
$235.07
Cigna
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CPT 78610
5 of 25 sample ratesHigher to lower in this preview
Health Imaging Partners
$537.96Published rateWilliam Smith
Radiology Associates Of North Texas, PA
$421.33Published rateMazhar Ali
Northern Arizona Healthcare Corporation
$152.46Published rateSamantha Ray
Radiology Associates Of North Texas, PA
$38.81Published rateJason Daniels
Northern Arizona Healthcare Corporation
$12.89Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 78610 vs. Other Nuclear Medicine Procedures Codes
The table lists codes related to 78610. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 78600-CPT | Moderate | Images Of The Brain, A Radioactive Substance Is Given By Mouth Or Iv. A Gamma Camera Creates Up To Three Images Of Brain Tissue By Detecting The Radiation. Views May Also Show Blood Flow. |
| 78601-CPT | Moderate | Images Of The Brain, A Radioactive Substance Is Given By Mouth Or Iv. A Gamma Camera Creates Up To Three Images Of Brain Tissue By Detecting The Radiation. Views May Also Show Blood Flow. |
| 78605-CPT | Moderate | Images Of The Brain, A Radioactive Substance Is Given By Mouth Or Iv. A Gamma Camera Creates At Least 4 Images Of Brain Tissue By Detecting The Radiation. Views May Also Show Blood Flow. |
| 78610-CPT | Moderate | Scan Of Brain Blood Flow, A Radioactive Substance Is Given By Mouth Or Iv. This Highlights Brain Tissue And Blood Flow So That It Can Be More Easily Evaluated On A Scan. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 78610. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 78610 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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