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Pennsylvania rates for HCPCS 78469

Myocrd Infarct Avid Plnr Tomog Spect W/Wo Quantj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$42.03 / $55.31 / $134.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.20 / $206.14 / $297.02
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$136.69 / $164.67 / $250.40
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.82 / $204.25 / $412.99
Capital Blue Cross
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$153.84 / $159.63 / $330.97
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$48.71 / $48.71 / $48.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.19 / $269.16 / $432.18
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$130.77 / $215.83 / $349.64
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$285.54 / $285.54 / $318.70
Emblem Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$229.13 / $229.13 / $255.62
Martin's Point
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$42.03 / $78.59 / $137.44
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.51 / $213.05 / $841.55
Martin's Point
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$144.83 / $171.01 / $631.51
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.01 / $219.23 / $307.70
Priority Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$48.71 / $48.71 / $48.71
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.51 / $278.14 / $434.02
Priority Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$145.13 / $221.40 / $350.91
UPMC Health Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$42.21 / $42.21 / $50.00
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.69 / $198.99 / $250.50
UPMC Health Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$153.49 / $156.78 / $200.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.42 / $250.98 / $402.65
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$155.56 / $207.41 / $323.68