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Idaho 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
$111.30 / $111.30 / $111.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.13 / $421.91 / $421.91
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$183.49 / $330.08 / $330.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.95 / $341.63 / $431.20
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$192.97 / $269.42 / $344.50
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$326.63 / $346.43 / $484.36
Moda Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$258.32 / $273.98 / $313.12
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $353.59
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$949.44 / $949.44 / $949.44
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$395.61 / $421.96 / $484.36
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$314.95 / $335.65 / $379.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.56 / $269.80 / $447.97
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$161.30 / $194.18 / $357.90