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Indiana 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
$39.81 / $51.29 / $70.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $194.98 / $309.03
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$134.90 / $158.49 / $251.19
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $245.47 / $389.05
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$181.97 / $186.21 / $295.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $302.00 / $524.81
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$194.98 / $239.88 / $426.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $245.47 / $407.38
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$162.18 / $199.53 / $323.59