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Minnesota 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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$45.71 / $45.71 / $45.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $223.87 / $524.81
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$34.67 / $46.77 / $234.42
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$125.89 / $177.83 / $316.23
BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$33.88 / $38.90 / $38.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $478.63 / $741.31
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$74.13 / $102.33 / $158.49
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$263.03 / $389.05 / $575.44
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$117.49 / $165.96 / $398.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $407.38 / $630.96
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$67.61 / $85.11 / $134.90
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$251.19 / $316.23 / $501.19
Health Partners
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$128.82 / $158.49 / $316.23
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $316.23 / $501.19
Health Partners
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$67.61 / $67.61 / $104.71
Health Partners
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$251.19 / $251.19 / $389.05
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $426.58 / $851.14
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$48.98 / $87.10 / $177.83
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$186.21 / $338.84 / $676.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $426.58 / $707.95
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.29 / $89.13 / $151.36
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$194.98 / $338.84 / $562.34