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Wyoming 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
$43.47 / $43.47 / $44.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.82 / $199.82 / $223.81
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$43.47 / $43.47 / $46.84
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$156.36 / $156.36 / $176.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$544.00 / $544.00 / $893.00
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$115.00 / $115.00 / $189.00
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$429.00 / $429.00 / $704.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.74 / $310.74 / $644.02
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$63.62 / $63.62 / $125.51
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$247.12 / $247.12 / $518.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.29 / $453.44 / $737.00
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$41.88 / $84.94 / $153.99
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$172.41 / $308.39 / $583.01