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New Hampshire 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
$82.72 / $228.18 / $228.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.61 / $272.42 / $854.37
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.81 / $297.76 / $431.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.45 / $498.26 / $675.22
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.15 / $412.63 / $935.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$289.55 / $313.68 / $826.07
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.15 / $202.57 / $257.81