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Indiana rates for HCPCS 78452

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); multiple studies, at rest and/or stress (exercise or pharmacologic) and/or redistribution and/or rest reinjection

Facilitymedian $93 · 10th–90th $71–$1380%10%20%10th90th$93Professionalmedian $288 · 10th–90th $72–$8510%10%10th90th$288$20.0$100.0$500.0$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
$70.79 / $93.33 / $138.04
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$371.54 / $549.54 / $1,258.93
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$69.18 / $102.33 / $234.42
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$302.00 / $398.11 / $870.96
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $398.11 / $602.56
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$69.18 / $89.13 / $107.15
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$489.78 / $489.78 / $489.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $426.58 / $691.83
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$74.13 / $91.20 / $144.54
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$323.59 / $331.13 / $537.03
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $354.81 / $478.63
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$457.09 / $562.34 / $891.25
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$85.11 / $100.00 / $165.96
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$371.54 / $457.09 / $724.44
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$426.58 / $562.34 / $1,000.00
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$70.79 / $107.15 / $173.78
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$354.81 / $467.74 / $831.76