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Utah 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
$66.07 / $66.07 / $66.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $223.87 / $323.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $346.74 / $416.87
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $60.26 / $380.19
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$691.83 / $691.83 / $691.83
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $446.68 / $478.63
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $323.59 / $537.03
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $229.09 / $407.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $251.19 / $389.05