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Wisconsin 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 $95 · 10th–90th $68$2240%20%10th90th$95Professionalmedian $186 · 10th–90th $45$6170%5%10th90th$186$50.0$100.0$200.0$500.0$1.0K$2.0K

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
$67.61 / $67.61 / $95.50
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $223.87 / $389.05
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$34.67 / $45.71 / $102.33
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$131.83 / $177.83 / $316.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $316.23 / $1,148.15
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$44.67 / $69.18 / $251.19
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$162.18 / $251.19 / $912.01
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$120.23 / $141.25 / $223.87
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $758.58 / $851.14
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$67.61 / $162.18 / $186.21
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$251.19 / $588.84 / $676.08
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$407.38 / $478.63 / $602.56
DeanCare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$89.13 / $104.71 / $125.89
DeanCare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$323.59 / $371.54 / $478.63
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$245.47 / $478.63 / $1,479.11
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$52.48 / $95.50 / $501.19
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$194.98 / $398.11 / $1,230.27
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $331.13
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $537.03 / $2,187.76
Network Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$66.07 / $114.82 / $173.78
Network Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$251.19 / $416.87 / $2,041.74
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $588.84 / $977.24
Quartz
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$104.71 / $288.40 / $288.40
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $1,122.02 / $1,513.56
Quartz
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$74.13 / $239.88 / $501.19
Quartz
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$263.03 / $870.96 / $1,258.93
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562.34 / $562.34 / $562.34
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$120.23 / $120.23 / $120.23
Security Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$436.52 / $436.52 / $436.52
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$602.56 / $1,318.26 / $1,698.24
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$125.89 / $158.49 / $263.03
Security Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$478.63 / $478.63 / $1,071.52
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$245.47 / $446.68 / $977.24
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$54.95 / $95.50 / $302.00
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$190.55 / $363.08 / $776.25