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North Carolina 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 $76 · 10th–90th $41$1410%10%20%10th90th$76Professionalmedian $158 · 10th–90th $41$4170%5%10%10th90th$158$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
$40.74 / $75.86 / $141.25
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $213.80 / $524.81
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$38.02 / $46.77 / $134.90
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$134.90 / $165.96 / $416.87
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$72.44 / $72.44 / $72.44
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$66.07 / $112.20 / $134.90
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$257.04 / $338.84 / $562.34
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $389.05 / $645.65
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$51.29 / $83.18 / $134.90
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$208.93 / $316.23 / $512.86
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$416.87 / $416.87 / $416.87
Medcost
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$87.10 / $87.10 / $87.10
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $309.03 / $562.34
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $323.59 / $588.84
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$46.77 / $63.10 / $128.82
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$173.78 / $263.03 / $457.09
Wellcare
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$288.40 / $288.40 / $288.40
Wellcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,548.82 / $1,548.82 / $1,737.80
Wellcare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$524.81 / $524.81 / $524.81
Wellcare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$1,258.93 / $1,258.93 / $1,380.38