go back

Michigan rates for HCPCS 78452

Myocardial Spect Multiple Studies

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$89.25 / $89.25 / $93.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$433.43 / $492.40 / $794.63
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$67.62 / $89.25 / $201.19
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$365.81 / $414.12 / $601.36
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$345.84 / $378.15 / $528.92
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$58.67 / $95.16 / $145.26
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$307.35 / $307.35 / $307.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.05 / $576.62 / $699.84
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$118.77 / $118.77 / $118.77
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$554.44 / $554.44 / $554.44
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.26 / $505.65 / $838.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$386.27 / $617.95 / $1,061.60
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$57.77 / $105.71 / $163.74
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$322.83 / $621.16 / $946.82
Health Alliance Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$60.53 / $89.25 / $93.71
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$393.19 / $492.39 / $779.80
Health Alliance Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$60.53 / $89.25 / $206.64
Health Alliance Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$332.67 / $403.14 / $604.73
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.78 / $324.14 / $492.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$448.88 / $541.99 / $766.44
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$75.98 / $94.50 / $131.08
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$343.26 / $438.35 / $628.92