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Nebraska 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
$93.33 / $141.25 / $416.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $281.84 / $1,348.96
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$42.66 / $102.33 / $245.47
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$154.88 / $177.83 / $1,071.52
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$34.67 / $34.67 / $57.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $380.19 / $398.11
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$79.43 / $83.18 / $89.13
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$275.42 / $302.00 / $416.87
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$257.04 / $257.04 / $257.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $501.19 / $616.60
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$87.10 / $104.71 / $131.83
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$309.03 / $389.05 / $489.78
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$208.93 / $208.93 / $208.93
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $389.05 / $1,479.11
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$56.23 / $83.18 / $501.19
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$199.53 / $302.00 / $1,230.27
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $457.09 / $512.86
Midlands
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$89.13 / $102.33 / $112.20
Midlands
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$309.03 / $363.08 / $407.38
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$257.04 / $257.04 / $257.04
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $457.09 / $489.78
Midlands
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$102.33 / $102.33 / $109.65
Midlands
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$354.81 / $354.81 / $380.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $398.11 / $562.34
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$56.23 / $89.13 / $123.03
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$199.53 / $309.03 / $436.52