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Washington 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
$62.83 / $122.31 / $199.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.25 / $277.26 / $753.71
Asuris Northwest Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$74.48 / $115.57 / $731.61
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.22 / $487.74 / $2,091.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$296.27 / $492.76 / $739.17
Kaiser Permanente
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$70.02 / $137.51 / $1,678.39
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $549.46 / $701.19
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.34 / $232.19 / $468.46
Pacific Source
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$87.22 / $108.54 / $112.20
Premera BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$74.48 / $74.48 / $74.75
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$329.28 / $487.74 / $596.12
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$731.61 / $731.61 / $1,177.68
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.22 / $447.89 / $606.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.48 / $245.18 / $608.96