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Maine rates for HCPCS 78481

Cardiac blood pool imaging (planar), first pass technique; single study, at rest or with stress (exercise and/or pharmacologic), wall motion study plus ejection fraction, with or without quantification

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.54 / $202.54 / $213.57
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.95 / $210.54 / $315.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.80 / $293.11 / $378.58
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.09 / $230.35 / $432.18
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.54 / $202.54 / $268.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.09 / $255.58 / $338.37