go back

Michigan 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
$64.57 / $66.07 / $66.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $218.78 / $512.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $309.03 / $331.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $309.03 / $512.86
Health Alliance Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$48.98 / $120.23 / $134.90
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $234.42 / $323.59
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $239.88 / $512.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $263.03 / $363.08