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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
$260.57 / $260.57 / $272.42
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.14 / $270.76 / $404.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$271.41 / $379.53 / $487.42
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.45 / $299.02 / $561.04
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.57 / $260.57 / $347.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.45 / $315.61 / $434.17