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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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$41.36 / $54.93 / $76.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.22 / $189.22 / $280.83
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$40.96 / $41.37 / $104.53
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$147.85 / $147.85 / $231.40
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$433.62 / $433.62 / $433.62
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$95.49 / $95.49 / $95.49
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$71.76 / $107.30 / $128.47
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$260.33 / $360.37 / $535.41
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$52.16 / $52.16 / $52.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.83 / $405.09 / $637.73
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$50.22 / $86.12 / $134.57
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$210.04 / $320.01 / $510.43
Medcost
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$72.12 / $82.00 / $174.87
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.00 / $234.00 / $295.00
Medcost
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$72.12 / $72.12 / $72.12
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.79 / $253.96 / $444.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.47 / $317.20 / $606.29
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$47.14 / $62.46 / $130.30
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$172.84 / $257.85 / $473.88
Wellcare
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$107.73 / $134.97 / $221.68
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,525.44 / $1,525.44 / $1,736.48
Wellcare
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$501.94 / $501.94 / $501.94
Wellcare
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$1,268.71 / $1,268.71 / $1,373.85