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Ohio 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 $58 · 10th–90th $44$1580%20%10th90th$58Professionalmedian $186 · 10th–90th $46$3800%10%10th90th$186$0.5$2.0$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
$43.65 / $57.54 / $158.49
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $251.19 / $478.63
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$38.02 / $57.54 / $104.71
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$147.91 / $204.17 / $380.19
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$33.88 / $33.88 / $33.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $302.00 / $457.09
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$48.98 / $64.57 / $102.33
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$186.21 / $239.88 / $363.08
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $295.12 / $549.54
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$43.65 / $64.57 / $112.20
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$154.88 / $239.88 / $426.58
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $302.00 / $549.54
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$43.65 / $61.66 / $112.20
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$154.88 / $239.88 / $426.58
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $33.11
SummaCare
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$489.78 / $489.78 / $489.78
SummaCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $263.03 / $446.68
SummaCare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$47.86 / $60.26 / $102.33
SummaCare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$162.18 / $204.17 / $346.74
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $251.19 / $426.58
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$33.88 / $52.48 / $89.13
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$144.54 / $199.53 / $323.59