go back

Maine rates for HCPCS 78469

Myocrd Infarct Avid Plnr Tomog Spect W/Wo Quantj

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.63 / $257.63 / $262.16
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$206.27 / $206.27 / $215.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.02 / $264.26 / $391.68
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$176.85 / $208.98 / $311.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.77 / $359.30 / $470.11
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$208.75 / $288.67 / $374.89
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.27 / $291.88 / $547.63
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$199.50 / $230.82 / $354.09
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.63 / $257.63 / $337.90
Martin's Point
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$206.27 / $215.20 / $591.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.13 / $316.98 / $447.75
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$199.50 / $253.08 / $335.76