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New Jersey rates for HCPCS 78469

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

Facilitymedian $204 · 10th–90th $115–$3240%20%10th90th$204Professionalmedian $209 · 10th–90th $151–$3890%10%10th90th$209$50.0$100.0$200.0$500.0$1.0K$2.0K

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$114.82 / $204.17 / $323.59
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $218.78 / $389.05
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$134.90 / $181.97 / $407.38
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $281.84 / $524.81
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$134.90 / $223.87 / $436.52
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$288.40 / $288.40 / $288.40
Emblem Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$234.42 / $234.42 / $234.42
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $234.42 / $436.52
Horizon BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$162.18 / $190.55 / $363.08
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $275.42 / $467.74
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$147.91 / $223.87 / $389.05