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Vermont 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 $457 · 10th–90th $457–$4570%50%100%$457Professionalmedian $316 · 10th–90th $74–$8710%5%10%10th90th$316$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$501.19 / $676.08 / $1,071.52
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$11.75 / $117.49 / $190.55
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$416.87 / $562.34 / $870.96
BCBS
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$457.09 / $457.09 / $457.09
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$602.56 / $602.56 / $1,862.09
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$102.33 / $102.33 / $316.23
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$512.86 / $512.86 / $512.86
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$616.60 / $660.69 / $1,584.89
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$107.15 / $109.65 / $239.88
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$501.19 / $562.34 / $912.01
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$512.86 / $912.01 / $1,995.26
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$91.20 / $158.49 / $251.19
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$426.58 / $707.95 / $1,096.48