go back

New Jersey 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
$114.82 / $204.17 / $323.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $218.78 / $398.11
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$134.90 / $181.97 / $407.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $275.42 / $489.78
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$147.91 / $223.87 / $426.58
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $288.40 / $288.40
Emblem Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$234.42 / $234.42 / $234.42
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $234.42 / $436.52
Horizon BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$162.18 / $190.55 / $354.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $269.15 / $467.74
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$138.04 / $218.78 / $389.05