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Maryland 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 $39 · 10th–90th $39–$540%50%90th$39Professionalmedian $182 · 10th–90th $42–$3800%5%10%10th90th$182$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
$38.90 / $38.90 / $53.70
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $257.04 / $1,258.93
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$38.02 / $53.70 / $186.21
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$138.04 / $194.98 / $478.63
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $208.93 / $257.04
CareFirst
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$42.66 / $44.67 / $50.12
CareFirst
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$165.96 / $186.21 / $208.93
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $257.04 / $467.74
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$34.67 / $51.29 / $87.10
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$128.82 / $208.93 / $380.19
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $263.03 / $426.58
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$44.67 / $53.70 / $83.18
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$165.96 / $208.93 / $346.74
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $234.42 / $467.74
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$36.31 / $44.67 / $95.50
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$154.88 / $190.55 / $371.54
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $257.04 / $346.74
Wellpoint
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$44.67 / $53.70 / $69.18
Wellpoint
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$165.96 / $199.53 / $275.42