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Arizona rates for HCPCS 78494

Cardiac blood pool imaging, gated equilibrium, SPECT, at rest, wall motion study plus ejection fraction, with or without quantitative processing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$77.88 / $188.41 / $235.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.25 / $216.25 / $1,514.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.36 / $239.15 / $1,158.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.82 / $337.93 / $460.82
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$131.11 / $256.77 / $256.77
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.48 / $266.06 / $2,091.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.48 / $266.06 / $475.19