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Idaho rates for HCPCS 78472

Cardiac blood pool imaging, gated equilibrium; planar, single study at rest or stress (exercise and/or pharmacologic), wall motion study plus ejection fraction, with or without additional quantitative processing

Facilitymedian $117 · 10th–90th $117–$1200%50%90th$117Professionalmedian $224 · 10th–90th $51–$4170%5%10%10th90th$224$50.0$100.0$200.0$500.0$1.0K

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$117.49 / $117.49 / $120.23
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $281.84 / $489.78
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$45.71 / $53.70 / $102.33
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$177.83 / $229.09 / $389.05
BCBS
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$724.44 / $724.44 / $724.44
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $371.54 / $549.54
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$74.13 / $85.11 / $107.15
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$263.03 / $288.40 / $363.08
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$245.47 / $331.13 / $436.52
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$53.70 / $72.44 / $91.20
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$190.55 / $263.03 / $346.74
Moda Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$117.49 / $117.49 / $120.23
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $363.08 / $501.19
Moda Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$74.13 / $77.62 / $104.71
Moda Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$269.15 / $281.84 / $398.11
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $33.11
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$724.44 / $724.44 / $724.44
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $436.52 / $457.09
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$85.11 / $91.20 / $93.33
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$316.23 / $338.84 / $363.08
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $190.55 / $758.58
Select Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$42.66 / $42.66 / $100.00
Select Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$147.91 / $147.91 / $1,047.13
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $281.84 / $457.09
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$40.74 / $52.48 / $93.33
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$158.49 / $223.87 / $363.08