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Pennsylvania 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
$35.24 / $42.12 / $101.34
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.65 / $42.20 / $79.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.08 / $78.22 / $312.25
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.46 / $56.46 / $62.84
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.24 / $42.21 / $166.37
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.29 / $31.48 / $61.94
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.20 / $75.02 / $312.25
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.93 / $40.63 / $275.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.47 / $61.23 / $259.30