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Texas 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
$26.92 / $30.90 / $40.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $194.98 / $309.03
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$123.03 / $158.49 / $251.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $165.96 / $213.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $275.42 / $467.74
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$138.04 / $218.78 / $363.08
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$275.42 / $275.42 / $275.42
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,445.44 / $1,737.80 / $1,737.80
Lucent Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$1,202.26 / $1,380.38 / $1,380.38
Moda Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$26.92 / $30.90 / $34.67
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $263.03 / $478.63
Moda Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$123.03 / $208.93 / $380.19
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $33.11
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $251.19 / $436.52
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$138.04 / $208.93 / $346.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $229.09 / $363.08
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$151.36 / $186.21 / $288.40
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $194.98 / $204.17
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$151.36 / $151.36 / $162.18