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New Jersey rates for HCPCS 78451

Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); single study, at rest or stress (exercise or pharmacologic)

Facilitymedian $269 · 10th–90th $69–$4900%10%20%10th90th$269Professionalmedian $245 · 10th–90th $60–$4790%5%10%10th90th$245$50.0$100.0$200.0$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$69.18 / $269.15 / $489.78
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $323.59 / $588.84
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$52.48 / $66.07 / $158.49
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$186.21 / $263.03 / $562.34
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $416.87 / $758.58
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$46.77 / $79.43 / $134.90
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$186.21 / $331.13 / $602.56
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$446.68 / $446.68 / $446.68
Emblem Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$85.11 / $85.11 / $85.11
Emblem Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$363.08 / $363.08 / $363.08
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $354.81 / $630.96
Horizon BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$54.95 / $64.57 / $112.20
Horizon BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$245.47 / $288.40 / $501.19
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$288.40 / $416.87 / $741.31
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$54.95 / $81.28 / $138.04
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$223.87 / $331.13 / $588.84