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Washington, DC rates for HCPCS 78469

Myocardial imaging, infarct avid, planar; tomographic SPECT with or without quantification

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$37.15 / $186.21 / $269.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $186.21 / $933.25
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$123.03 / $154.88 / $776.25
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $707.95 / $1,096.48
CareFirst
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$173.78 / $181.97 / $223.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $416.87 / $1,023.29
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$147.91 / $346.74 / $831.76
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $257.04 / $489.78
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$43.65 / $51.29 / $93.33
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$181.97 / $208.93 / $398.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $281.84 / $724.44
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$173.78 / $223.87 / $588.84