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Maine 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
Professional
Modifier
Low / Median / High Price
$177.83 / $257.04 / $512.86
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $295.12 / $389.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $380.19 / $549.54
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $309.03 / $602.56
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $295.12 / $1,023.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $316.23 / $575.44