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Vermont rates for HCPCS 78469

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $295.12 / $512.86
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$154.88 / $251.19 / $407.38
BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$275.42 / $275.42 / $275.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $346.74 / $891.25
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$234.42 / $281.84 / $602.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $371.54 / $933.25
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$190.55 / $302.00 / $512.86