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Alaska rates for HCPCS 78452

Myocardial Spect Multiple Studies

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$237.10 / $237.10 / $237.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$433.43 / $534.17 / $1,271.14
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$67.62 / $82.58 / $261.12
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$365.81 / $455.53 / $1,010.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,306.21 / $1,306.21 / $1,404.75
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$245.26 / $245.26 / $279.31
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$1,060.95 / $1,060.95 / $1,125.44
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$646.00 / $1,226.58 / $2,212.00
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$180.33 / $216.39 / $232.26
Moda Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$841.83 / $1,010.19 / $1,084.27
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,580.00 / $1,753.65 / $2,313.12
Premera BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$278.75 / $301.05 / $408.09
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$1,301.25 / $1,452.60 / $1,905.03
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$646.00 / $1,700.00 / $3,176.15
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$268.80 / $336.00 / $514.13
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$1,125.44 / $1,678.50 / $2,662.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$918.99 / $1,123.80 / $1,685.70
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$165.02 / $223.44 / $335.16
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$753.97 / $900.36 / $1,350.54