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Maine 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
$49.36 / $49.36 / $81.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.47 / $53.54 / $80.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.27 / $80.37 / $98.83
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.50 / $51.11 / $90.72
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.36 / $49.36 / $81.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.75 / $64.16 / $109.73