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Wisconsin 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

Facilitymedian $145 · 10th–90th $102–$3310%20%10th90th$145Professionalmedian $398 · 10th–90th $229–$1,3180%10%10th90th$398$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
$102.33 / $102.33 / $144.54
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $275.42 / $407.38
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $407.38 / $1,479.11
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$177.83 / $208.93 / $331.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$407.38 / $954.99 / $1,096.48
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$524.81 / $616.60 / $758.58
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $676.08 / $2,238.72
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $426.58
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$407.38 / $676.08 / $2,290.87
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$426.58 / $758.58 / $1,318.26
Quartz
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$158.49 / $426.58 / $426.58
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$426.58 / $1,412.54 / $2,290.87
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$707.95 / $707.95 / $707.95
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$177.83 / $177.83 / $177.83
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$691.83 / $1,698.24 / $2,137.96
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $588.84 / $1,258.93