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New York 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 $68 · 10th–90th $35$1580%10%10th90th$68Professionalmedian $182 · 10th–90th $45$4470%5%10th90th$182$10.0$50.0$200.0$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
$34.67 / $69.18 / $186.21
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $251.19 / $724.44
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$34.67 / $61.66 / $158.49
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$125.89 / $199.53 / $446.68
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $245.47 / $575.44
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$38.02 / $50.12 / $107.15
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$147.91 / $194.98 / $457.09
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $257.04 / $323.59
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$10.96 / $51.29 / $74.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $398.11 / $1,122.02
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$33.11 / $72.44 / $234.42
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$138.04 / $338.84 / $758.58
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $295.12 / $457.09
Emblem Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$44.67 / $61.66 / $95.50
Emblem Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$186.21 / $234.42 / $363.08
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $223.87 / $389.05
Excellus BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$37.15 / $60.26 / $85.11
Excellus BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$109.65 / $177.83 / $302.00
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$54.95 / $54.95 / $93.33
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $316.23 / $338.84
MVP Health Care
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$54.95 / $66.07 / $67.61
MVP Health Care
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$213.80 / $245.47 / $269.15
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $275.42 / $602.56
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$39.81 / $56.23 / $141.25
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$154.88 / $218.78 / $549.54
Univera
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$37.15 / $48.98 / $158.49
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $263.03 / $616.60
Univera
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$37.15 / $60.26 / $158.49
Univera
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$131.83 / $204.17 / $512.86