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Missouri 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
$47.86 / $125.89 / $169.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $213.80 / $316.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $263.03 / $436.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $251.19 / $346.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $323.59 / $478.63
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$131.83 / $257.04 / $257.04
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $323.59 / $2,089.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $302.00 / $446.68