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Maine rates for HCPCS 78469

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $213.80 / $933.25
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$134.90 / $173.78 / $758.58
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $288.40 / $371.54
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$162.18 / $229.09 / $295.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $371.54 / $524.81
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$208.93 / $295.12 / $426.58
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $295.12 / $575.44
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$199.53 / $239.88 / $457.09
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $269.15 / $933.25
Martin's Point
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$169.82 / $229.09 / $776.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $316.23 / $575.44
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$199.53 / $251.19 / $363.08