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Rhode Island 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
$229.09 / $229.09 / $229.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $234.42 / $933.25
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$154.88 / $181.97 / $776.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $186.21 / $446.68
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$123.03 / $144.54 / $204.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $467.74 / $478.63
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$204.17 / $380.19 / $389.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $251.19 / $363.08
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$173.78 / $194.98 / $288.40