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Pennsylvania 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
$43.16 / $58.79 / $141.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.86 / $228.16 / $1,262.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$39.44 / $47.65 / $235.00
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$148.01 / $182.68 / $303.39
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$34.90 / $34.90 / $36.92
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.20 / $206.71 / $413.36
Capital Blue Cross
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$45.36 / $47.07 / $87.85
Capital Blue Cross
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$153.84 / $159.63 / $325.50
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
$167.52 / $282.42 / $440.44
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$32.44 / $55.54 / $88.17
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$131.25 / $220.30 / $354.53
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.60 / $288.60 / $322.02
Emblem Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$59.46 / $59.46 / $66.40
Emblem Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$229.13 / $229.13 / $255.62
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$45.01 / $48.93 / $52.38
Martin's Point
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$43.16 / $81.70 / $146.01
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.12 / $255.30 / $651.64
Martin's Point
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$41.11 / $50.14 / $132.61
Martin's Point
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$148.01 / $197.14 / $519.05
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.31 / $221.05 / $311.16
Priority Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$52.16 / $52.16 / $52.16
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.71 / $285.41 / $444.25
Priority Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$34.83 / $57.48 / $90.57
Priority Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$145.13 / $229.33 / $356.08
UPMC Health Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$44.87 / $44.87 / $53.50
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.20 / $203.55 / $265.00
UPMC Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$43.77 / $44.87 / $53.50
UPMC Health Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$155.35 / $158.68 / $211.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.20 / $258.43 / $410.40
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$43.74 / $54.12 / $89.67
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$156.46 / $198.12 / $320.73