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Montana 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
$165.96 / $186.21 / $562.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $263.03 / $501.19
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $295.12 / $1,148.15
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $245.47 / $371.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $181.97 / $323.59