go back

Wisconsin rates for HCPCS 78469

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

Facilitymedian $91 · 10th–90th $65$2090%20%10th90th$91Professionalmedian $234 · 10th–90th $145$7760%5%10%10th90th$234$50.0$100.0$200.0$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$64.57 / $64.57 / $91.20
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $213.80 / $309.03
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$128.82 / $162.18 / $251.19
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $309.03 / $1,122.02
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$158.49 / $251.19 / $891.25
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$112.20 / $131.83 / $208.93
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $741.31 / $831.76
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$251.19 / $588.84 / $660.69
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$407.38 / $478.63 / $602.56
DeanCare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$323.59 / $371.54 / $489.78
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $467.74 / $1,380.38
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$190.55 / $380.19 / $1,174.90
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $331.13
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $524.81 / $2,187.76
Network Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$245.47 / $416.87 / $2,041.74
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $575.44 / $954.99
Quartz
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$100.00 / $275.42 / $275.42
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $1,096.48 / $1,445.44
Quartz
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$263.03 / $870.96 / $1,202.26
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$549.54 / $549.54 / $549.54
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$112.20 / $112.20 / $112.20
Security Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$426.58 / $426.58 / $426.58
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$537.03 / $1,288.25 / $1,621.81
Security Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$407.38 / $489.78 / $1,047.13
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $436.52 / $954.99
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$190.55 / $354.81 / $776.25