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See a sample rate comparisonCPT 78740 Fee Schedule
CPT 78740 is classified under Radiology Procedures, in the Nuclear Medicine Procedures subgroup.
Scan Of Urine Flow, A Radioactive Substance Is Given By Mouth Or Iv. This Highlights The Bladder On A Scan During Urination So That Any Backflow May Be Viewed More Easily.
| 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 GC - Service performed by resident under supervision |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 78740 |
| Medicaid Fee Schedule | $177.94 median of the 8 states in the free preview · View Medicaid rates for 78740 |
National average reimbursement for CPT 78740 by major payers:
$251.31
BCBS / Anthem
$239.27
UnitedHealthcare
$242.90
Aetna
$296.42
Cigna
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CPT 78740
5 of 25 sample ratesHigher to lower in this preview
Robert Reuter
Radiology Associates Of North Texas, PA
$572.95Published rateKenneth Bescak
Northern Arizona Healthcare Corporation
$333.60Published rateWilliam Reese
Radiology Associates Of North Texas, PA
$176.47Published rateAntonio Moore
Northern Arizona Healthcare Corporation
$49.18Published rateJames Hayes
Northern Arizona Healthcare Corporation
$23.62Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 78740 vs. Other Nuclear Medicine Procedures Codes
The table lists codes related to 78740. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 78709-CPT | Moderate | Scan Of Kidney Function, A Radioactive Substance Is Given By Mouth Or Iv. This Highlights A Kidney On A Scan So That Its Function May Be Viewed More Easily. Blood Flow Through The Organ May Be Viewed. A Drug May Be Given To Stimulate Kidney Function For The Evaluation. |
| 78725-CPT | Low | Kidney Function Study, A Radioactive Substance Is Injected And Then Blood Samples Are Taken At Periodic Intervals. Changes In The Amount Of The Substance Help To Evaluate Kidney Function. |
| 78730-CPT | Low | Bladder Residual Scan, A Bladder Residual Scan Uses A Radioactive Substance To Highlight The Bladder When Full And Then When Empty. The Test Is Used To Find Where A Bladder Is Blocked Or Identify Where There May Be Problems. |
| 78740-CPT | Moderate | Scan Of Urine Flow, A Radioactive Substance Is Given By Mouth Or Iv. This Highlights The Bladder On A Scan During Urination So That Any Backflow 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 78740. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 78740 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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