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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
$48.40 / $93.41 / $126.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.63 / $202.44 / $854.37
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.72 / $256.64 / $495.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.66 / $324.45 / $475.07
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
$208.30 / $314.57 / $2,091.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.50 / $302.08 / $504.61