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Pennsylvania 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
$50.12 / $112.20 / $165.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $218.78 / $512.86
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$134.90 / $173.78 / $407.38
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $204.17 / $416.87
Capital Blue Cross
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$154.88 / $158.49 / $331.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $275.42 / $426.58
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$138.04 / $218.78 / $346.74
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $288.40 / $346.74
Emblem Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$234.42 / $234.42 / $281.84
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $269.15 / $416.87
Geisinger
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$151.36 / $208.93 / $323.59
Martin's Point
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$50.12 / $112.20 / $158.49
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $239.88 / $691.83
Martin's Point
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$144.54 / $190.55 / $549.54
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $389.05 / $457.09
UPMC Health Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$42.66 / $50.12 / $50.12
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $162.18 / $407.38
UPMC Health Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$158.49 / $173.78 / $199.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $245.47 / $407.38
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$154.88 / $199.53 / $323.59