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See a sample rate comparisonCPT 78802 Fee Schedule
CPT 78802 is classified under Radiology Procedures, in the Nuclear Medicine Procedures subgroup.
Rp Loclzj Tum Whbdy 1 D Img, Radiopharmaceutical Localization Of Tumor Inflammatory Process Or Distribution Of Radiopharmaceutical Agent S Includes Vascular Flow And Blood Pool Imaging When Performed Planar Whole Body Single Day Imaging
| Key Fact | Detail |
|---|---|
| Service Type | Radiology Procedures Nuclear Medicine Procedures |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | 26 - Professional component TC - Technical component |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 78802 |
| Medicaid Fee Schedule | $223.45 median of the 8 states in the free preview · View Medicaid rates for 78802 |
National average reimbursement for CPT 78802 by major payers:
$354.22
BCBS / Anthem
$361.44
UnitedHealthcare
$386.06
Aetna
$432.00
Cigna
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CPT 78802
5 of 25 sample ratesHigher to lower in this preview
Timothy Leihgeber
Radiology Associates Of North Texas, PA
$747.08Published rateAmanbir Dhade
Northern Arizona Healthcare Corporation
$526.19Published rateChristopher Raio
Mercy Medical Center
$428.82Published rateRobert Ripley
Northern Arizona Healthcare Corporation
$273.94Published rateDipak Jana
Northern Arizona Healthcare Corporation
$33.43Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 78802 vs. Other Nuclear Medicine Procedures Codes
The table lists codes related to 78802. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 78800-CPT | Moderate | Rp Loclzj Tum 1 Area 1 D Img, Radiopharmaceutical Localization Of Tumor Inflammatory Process Or Distribution Of Radiopharmaceutical Agent S Includes Vascular Flow And Blood Pool Imaging When Performed Planar Single Area Eg Head Neck Chest Pelvis Single Day Imaging |
| 78801-CPT | Moderate | Rp Loclzj Tum 2 Area 1 D Img, Radiopharmaceutical Localization Of Tumor Inflammatory Process Or Distribution Of Radiopharmaceutical Agent S Includes Vascular Flow And Blood Pool Imaging When Performed Planar 2 Or More Areas Eg Abdomen And Pelvis Head And Chest 1 Or More Days Imaging Or Single Area Imaging Over 2 Or More Days |
| 78802-CPT | Moderate | Rp Loclzj Tum Whbdy 1 D Img, Radiopharmaceutical Localization Of Tumor Inflammatory Process Or Distribution Of Radiopharmaceutical Agent S Includes Vascular Flow And Blood Pool Imaging When Performed Planar Whole Body Single Day Imaging |
| 78803-CPT | Moderate | Rp Loclzj Tum Spect 1 Area, Radiopharmaceutical Localization Of Tumor Inflammatory Process Or Distribution Of Radiopharmaceutical Agent S Includes Vascular Flow And Blood Pool Imaging When Performed Tomographic Spect Single Area Eg Head Neck Chest Pelvis Or Acquisition Single Day Imaging |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 78802. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 78802 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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