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Montana 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 $117 · 10th–90th $117–$1450%20%40%90th$117Professionalmedian $372 · 10th–90th $74–$9330%10%10th90th$372$20.0$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$436.52 / $501.19 / $2,089.30
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$69.18 / $79.43 / $199.53
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$371.54 / $457.09 / $1,122.02
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$117.49 / $117.49 / $676.08
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$117.49 / $117.49 / $144.54
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$363.08 / $676.08 / $1,318.26
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$63.10 / $117.49 / $223.87
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$302.00 / $562.34 / $1,096.48
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$741.31 / $794.33 / $3,090.30
Providence
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$117.49 / $117.49 / $144.54
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$446.68 / $645.65 / $977.24
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$79.43 / $109.65 / $154.88
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$363.08 / $537.03 / $794.33
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$407.38 / $416.87 / $812.83
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$67.61 / $69.18 / $138.04
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$346.74 / $354.81 / $676.08