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Utah 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
Facility
Modifier
26
Low / Median / High Price
$81.28 / $81.28 / $81.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $281.84 / $407.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $436.52 / $537.03
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $60.26 / $489.78
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$691.83 / $691.83 / $691.83
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $575.44 / $616.60
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $398.11 / $691.83
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $288.40 / $512.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $323.59 / $501.19