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Oklahoma 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
$45.16 / $53.72 / $303.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.44 / $196.72 / $220.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.95 / $217.46 / $341.88
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
$193.81 / $260.20 / $528.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.80 / $249.68 / $355.18