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Montana rates for HCPCS 78469

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

Facilitymedian $66 · 10th–90th $66$810%20%40%90th$66Professionalmedian $269 · 10th–90th $174$1,0720%10%10th90th$269$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $269.15 / $1,318.26
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$173.78 / $218.78 / $1,071.52
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$66.07 / $66.07 / $81.28
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $323.59 / $630.96
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$138.04 / $257.04 / $501.19
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $380.19 / $1,148.15
Providence
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$66.07 / $66.07 / $81.28
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $309.03 / $467.74
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$173.78 / $245.47 / $371.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $208.93 / $407.38
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$158.49 / $165.96 / $323.59