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Montana 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
$213.80 / $239.88 / $724.44
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$85.11 / $85.11 / $107.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $338.84 / $645.65
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $380.19 / $891.25
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$85.11 / $85.11 / $107.15
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $316.23 / $478.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $229.09 / $407.38