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See a sample rate comparisonCPT 78699 Fee Schedule
CPT 78699 is classified under Radiology Procedures, in the Nuclear Medicine Procedures subgroup.
Scan Of Nervous System, A Radioactive Substance Is Given By Mouth Or Iv. This Highlights Nervous System Tissues On A Scan So That They May Be Viewed More Easily.
| Key Fact | Detail |
|---|---|
| Service Type | Radiology Procedures Nuclear Medicine Procedures |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 78699 |
| Medicaid Fee Schedule | View Medicaid rates for 78699 |
National average reimbursement for CPT 78699 by major payers:
$1,946.24
BCBS / Anthem
$123.79
UnitedHealthcare
$1,696.66
Aetna
$797.97
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 78699.
CPT 78699
5 of 25 sample ratesHigher to lower in this preview
Inova Health Care Services, Inova Fair Oaks Hospital
Inova Health Care Services
$1,058.71Published ratePiedmont Hospital, Inc, Piedmont Hospital
Piedmont Healthcare Inc
$920.33Published rateInspira Medical Centers, Inc., Inspira Medical Center Elmer
Inspira Medical Centers Inc
$631.40Published rateMercy Hospitals East Communities, Mercy Hospital Washington
Mercy Hospitals East Communities
$386.54Published rateMercy Health, Mercy Health - St. Anne Hospital
Mercy Health - St Vincent Medical Center LLC
$303.67Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 78699 vs. Other Nuclear Medicine Procedures Codes
The table lists codes related to 78699. 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. |
| 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. |
| 78606-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. |
| 78699-CPT | High | Scan Of Nervous System, A Radioactive Substance Is Given By Mouth Or Iv. This Highlights Nervous System Tissues On A Scan So That They May Be Viewed More Easily. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 78699. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 78699 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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