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Pennsylvania rates for HCPCS 78494

Cardiac blood pool imaging, gated equilibrium, SPECT, at rest, wall motion study plus ejection fraction, with or without quantitative processing

Facilitymedian $148 · 10th–90th $65–$2140%10%20%10th90th$148Professionalmedian $219 · 10th–90th $178–$4470%10%20%10th90th$219$50.0$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$64.57 / $147.91 / $213.80
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $218.78 / $512.86
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $346.74 / $549.54
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $323.59 / $457.09
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$363.08 / $363.08 / $363.08
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $288.40 / $467.74
Martin's Point
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$53.70 / $109.65 / $186.21
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $208.93 / $281.84
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $407.38 / $457.09
UPMC Health Plan
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$54.95 / $54.95 / $60.26
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $162.18 / $281.84
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $281.84 / $436.52