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Iowa 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
$38.02 / $38.02 / $234.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $194.98 / $512.86
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$131.83 / $154.88 / $407.38
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$138.04 / $141.25 / $144.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $489.78 / $616.60
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$389.05 / $389.05 / $489.78
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $309.03 / $977.24
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$43.65 / $72.44 / $158.49
Hally Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$154.88 / $257.04 / $831.76
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$141.25 / $141.25 / $199.53
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $426.58 / $870.96
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$165.96 / $199.53 / $1,174.90
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $489.78 / $891.25
Midlands
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$85.11 / $100.00 / $165.96
Midlands
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$316.23 / $389.05 / $724.44
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$144.54 / $144.54 / $144.54
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $478.63 / $524.81
Midlands
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$380.19 / $380.19 / $416.87
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $165.96 / $354.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $251.19 / $537.03
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$165.96 / $199.53 / $426.58
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $346.74 / $407.38
Wellmark
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$218.78 / $275.42 / $323.59