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Virginia 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 $102 · 10th–90th $56–$4070%20%10th90th$102Professionalmedian $245 · 10th–90th $59–$4900%10%10th90th$245$50.0$200.0$1.0K$5.0K

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
$56.23 / $102.33 / $407.38
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $309.03 / $549.54
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$48.98 / $60.26 / $138.04
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$204.17 / $251.19 / $467.74
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$288.40 / $398.11 / $616.60
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$60.26 / $81.28 / $123.03
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$229.09 / $323.59 / $489.78
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $446.68 / $1,230.27
CareFirst
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$60.26 / $83.18 / $104.71
CareFirst
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$251.19 / $288.40 / $426.58
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $426.58 / $630.96
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$51.29 / $87.10 / $134.90
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$208.93 / $338.84 / $501.19
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $426.58 / $446.68
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$61.66 / $81.28 / $85.11
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$251.19 / $346.74 / $363.08
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$288.40 / $309.03 / $660.69
Medcost
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$91.20 / $93.33 / $125.89
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$524.81 / $524.81 / $524.81
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $323.59 / $1,047.13
Sentara
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$64.57 / $87.10 / $144.54
Sentara
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$147.91 / $346.74 / $616.60
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $512.86 / $794.33
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$60.26 / $102.33 / $169.82
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$218.78 / $407.38 / $645.65