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Montana rates for HCPCS 78473

Cardiac blood pool imaging, gated equilibrium; multiple studies, wall motion study plus ejection fraction, at rest and stress (exercise and/or pharmacologic), with or without additional quantification

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$336.35 / $336.44 / $442.88
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$105.69 / $105.69 / $130.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$374.94 / $440.43 / $820.82
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$105.69 / $105.69 / $130.65
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.58 / $376.26 / $508.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.39 / $283.02 / $523.52