go back

Alaska rates for HCPCS 78469

Myocrd Infarct Avid Plnr Tomog Spect W/Wo Quantj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$134.25 / $134.25 / $134.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$608.38 / $608.38 / $1,319.25
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$460.54 / $460.54 / $1,062.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$613.11 / $613.11 / $672.97
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$471.99 / $471.99 / $513.39
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.75 / $593.88 / $1,071.00
Moda Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$391.40 / $469.68 / $504.12
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$765.00 / $831.60 / $1,119.96
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$605.00 / $661.50 / $885.72
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.75 / $812.50 / $1,533.24
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$513.39 / $766.50 / $1,240.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$373.54 / $538.38 / $807.57
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$308.80 / $435.82 / $616.08