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See a sample rate comparisonCPT 78799 Fee Schedule
CPT 78799 is classified under Radiology Procedures, in the Nuclear Medicine Procedures subgroup.
Scan Of Genitourinary System, A Scan Of The Urinary Tract Or Reproductive System Makes Use Of A Radioactive Substance To Highlight Specific Areas.
| Key Fact | Detail |
|---|---|
| Service Type | Radiology Procedures Nuclear Medicine Procedures |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 78799 |
| Medicaid Fee Schedule | View Medicaid rates for 78799 |
National average reimbursement for CPT 78799 by major payers:
$1,446.79
BCBS / Anthem
$106.40
UnitedHealthcare
$842.25
Aetna
$606.75
Cigna
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CPT 78799
5 of 25 sample ratesHigher to lower in this preview
Hmh Hospitals Corporation, Riverview Medical Center
Hackensack Meridian Health Inc
$942.79Published rateSt. Vincent'S Birmingham, Ascension St. Vincent'S Birmingham
St Vincents Birmingham
$754.23Published rateMountain Vista Medical Center, Lp, Florence Hospital, A Campus Of Mountain Vista Medical Center
Mountain Vista Medical Center Lp
$625.82Published rateLehigh Hma LLC, Lehigh Regional Medical Center
$441.76Published rateEoh Acquisition Group, LLC, Carewell Health Medical Center
Eoh Acquisitions Group, LLC Dba Carewell Health
$377.11Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 78799 vs. Other Nuclear Medicine Procedures Codes
The table lists codes related to 78799. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 78700-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. |
| 78701-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. |
| 78707-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. |
| 78799-CPT | High | Scan Of Genitourinary System, A Scan Of The Urinary Tract Or Reproductive System Makes Use Of A Radioactive Substance To Highlight Specific Areas. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 78799. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 78799 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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