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New York 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 / $43.05 / $115.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.15 / $45.96 / $133.61
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.64 / $33.86 / $60.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.83 / $69.11 / $258.13
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.84 / $56.19 / $232.20
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.75 / $57.52 / $167.66
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.22 / $74.40 / $351.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.47 / $53.12 / $230.49
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.75 / $57.52 / $121.45