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Kentucky 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 $63 · 10th–90th $37$850%20%10th90th$63Professionalmedian $174 · 10th–90th $43$2950%10%10th90th$174$10.0$20.0$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$43.65 / $63.10 / $85.11
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $204.17 / $371.54
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$38.02 / $43.65 / $81.28
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$131.83 / $165.96 / $288.40
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$33.88 / $52.48 / $58.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $245.47 / $398.11
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$44.67 / $52.48 / $89.13
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$165.96 / $194.98 / $309.03
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $57.54 / $69.18
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$10.96 / $51.29 / $74.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $446.68 / $1,122.02
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$57.54 / $91.20 / $234.42
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$229.09 / $363.08 / $758.58
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $208.93
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $269.15 / $354.81
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$43.65 / $57.54 / $74.13
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$181.97 / $218.78 / $288.40