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California rates for HCPCS 78496

Cardiac blood pool imaging, gated equilibrium, single study, at rest, with right ventricular ejection fraction by first pass technique (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.17 / $72.89 / $249.71
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.84 / $121.35 / $292.76
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.52 / $55.99 / $186.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.49 / $77.48 / $302.88
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.31 / $50.93 / $68.76
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.61 / $51.44 / $95.75
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,688.61 / $1,739.26 / $1,739.26
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.61 / $77.48 / $308.95
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.68 / $143.68 / $143.68
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.18 / $56.63 / $202.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.72 / $70.11 / $229.37