$223.30
Choose 78494 for gated equilibrium cardiac blood-pool SPECT. Choose 78472 when the corresponding single-study acquisition is planar.
On this page
CMS RVU26D · Effective 2026-10-01
78494 in Merced
Office / nonfacility
$226.61
Base rate per service
Facility setting
Not available in this setting
Base rate per service
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
Nuclear cardiology
About 78494: Gated cardiac blood-pool SPECT
Reports ECG-gated SPECT imaging of the cardiac blood pool to assess ventricular function and wall motion rather than myocardial perfusion.
This study uses a radiotracer in the circulating blood and ECG gating to create tomographic images of the heart across the cardiac cycle. It helps assess ventricular function and wall motion, including left ventricular function monitoring in patients receiving potentially cardiotoxic chemotherapy. Nuclear medicine physicians or other qualified imaging professionals typically perform and interpret the study in hospital or outpatient imaging settings. Unlike myocardial perfusion SPECT, it images the blood pool rather than tracer uptake in heart muscle.
Report 78494 when the documented acquisition is gated equilibrium cardiac blood-pool SPECT. The record should support the cardiac indication, the SPECT blood-pool technique, and the physician’s interpretation. The code has professional and technical components: modifier 26 identifies interpretation, modifier TC identifies equipment and staff, and no component modifier represents the global service. CMS applies the cardiovascular diagnostic multiple-procedure reduction to the technical component when the rule applies; it does not reduce the professional component under this rule.
CMS billing rules for 78494
- Professional and technical components
- Diagnostic test with a professional component (modifier 26, interpretation) and a technical component (modifier TC, equipment and staff); billing without a modifier is the global service.
- Multiple procedures
- Cardiovascular diagnostic multiple procedure reduction applies to the technical component.
Where the value comes from
- Work RVU1.16 · 18%
- Practice expense (office) RVU5.07 · 80%
- Malpractice RVU0.09 · 1%
324
Medicare services in 2024 · #3937 by national volume
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
78494 compared with similar codes
Office rates for Merced, from the same CMS release.
$174.44
78481 describes first-pass blood-pool imaging. 78494 is for gated equilibrium blood-pool SPECT.
$335.75
78451 evaluates myocardial perfusion with SPECT for a single study. 78494 images the cardiac blood pool to assess ventricular function and wall motion.
$462.34
78452 is multiple-study myocardial perfusion SPECT, not gated equilibrium blood-pool SPECT.
The same code, a different location
How does Merced compare?
In Bakersfield, the office rate for 78494 is $226.91—$0.30 higher than the $226.61 rate in Merced. Both use the same code, release and participation basis.
78494 across payment areas
Same release and payment basis · bars start at $0
Merced · This locality
$226.61
$226.91
$0.30 higher than Merced
$226.61
The same base rate than Merced
$226.63
$0.02 higher than Merced
$226.61
The same base rate than Merced
$226.61
The same base rate than Merced
$16.05 higher than Merced
Other payment areas listed in California appear first, followed by selected cross-country examples. The chart compares amounts, not distance.
Across 109 of 109 CMS payment localities with a supported office rate, 78494 ranges from $185.76 in Arkansas to $288.81 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). This is a geographic range, not an average.
The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.
Compare all 108 other payment areas
Madera
California · 78494
Office
$226.61
Facility
Unavailable
The same base rate than Merced for the office setting.
Modesto
California · 78494
Office
$226.61
Facility
Unavailable
The same base rate than Merced for the office setting.
Napa
California · 78494
Office
$265.91
Facility
Unavailable
$39.30 higher than Merced for the office setting.
Oxnard-Thousand Oaks-Ventura
California · 78494
Office
$241.87
Facility
Unavailable
$15.26 higher than Merced for the office setting.
Redding
California · 78494
Office
$226.61
Facility
Unavailable
The same base rate than Merced for the office setting.
Rest Of California
California · 78494
Office
$226.61
Facility
Unavailable
The same base rate than Merced for the office setting.
Riverside-San Bernardino-Ontario
California · 78494
Office
$227.61
Facility
Unavailable
$1.00 higher than Merced for the office setting.
Sacramento-Roseville-Folsom
California · 78494
Office
$238.70
Facility
Unavailable
$12.09 higher than Merced for the office setting.
Salinas
California · 78494
Office
$237.83
Facility
Unavailable
$11.22 higher than Merced for the office setting.
San Diego-Chula Vista-Carlsbad
California · 78494
Office
$244.07
Facility
Unavailable
$17.46 higher than Merced for the office setting.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 78494
Office
$282.58
Facility
Unavailable
$55.97 higher than Merced for the office setting.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 78494
Office
$282.48
Facility
Unavailable
$55.87 higher than Merced for the office setting.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 78494
Office
$288.81
Facility
Unavailable
$62.20 higher than Merced for the office setting.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 78494
Office
$288.39
Facility
Unavailable
$61.78 higher than Merced for the office setting.
San Luis Obispo-Paso Robles
California · 78494
Office
$233.90
Facility
Unavailable
$7.29 higher than Merced for the office setting.
Santa Cruz-Watsonville
California · 78494
Office
$246.92
Facility
Unavailable
$20.31 higher than Merced for the office setting.
Santa Maria-Santa Barbara
California · 78494
Office
$238.89
Facility
Unavailable
$12.28 higher than Merced for the office setting.
Santa Rosa-Petaluma
California · 78494
Office
$249.47
Facility
Unavailable
$22.86 higher than Merced for the office setting.
Stockton
California · 78494
Office
$226.61
Facility
Unavailable
The same base rate than Merced for the office setting.
Vallejo
California · 78494
Office
$265.76
Facility
Unavailable
$39.15 higher than Merced for the office setting.
Visalia
California · 78494
Office
$226.61
Facility
Unavailable
The same base rate than Merced for the office setting.
Yuba City
California · 78494
Office
$226.61
Facility
Unavailable
The same base rate than Merced for the office setting.
Dc + Md/Va Suburbs
District of Columbia · 78494
Office
$243.67
Facility
Unavailable
$17.06 higher than Merced for the office setting.
Miami
Florida · 78494
Office
$222.63
Facility
Unavailable
$3.98 lower than Merced for the office setting.
Chicago
Illinois · 78494
Office
$216.10
Facility
Unavailable
$10.51 lower than Merced for the office setting.
Manhattan
New York · 78494
Office
$242.77
Facility
Unavailable
$16.16 higher than Merced for the office setting.
Alaska*
Alaska · 78494
Office
$240.12
Facility
Unavailable
$13.51 higher than Merced for the office setting.
Alabama
Alabama · 78494
Office
$188.62
Facility
Unavailable
$37.99 lower than Merced for the office setting.
Arkansas
Arkansas · 78494
Office
$185.76
Facility
Unavailable
$40.85 lower than Merced for the office setting.
Arizona
Arizona · 78494
Office
$205.41
Facility
Unavailable
$21.20 lower than Merced for the office setting.
Colorado
Colorado · 78494
Office
$221.74
Facility
Unavailable
$4.87 lower than Merced for the office setting.
Connecticut
Connecticut · 78494
Office
$225.54
Facility
Unavailable
$1.07 lower than Merced for the office setting.
Delaware
Delaware · 78494
Office
$208.95
Facility
Unavailable
$17.66 lower than Merced for the office setting.
Fort Lauderdale
Florida · 78494
Office
$215.72
Facility
Unavailable
$10.89 lower than Merced for the office setting.
Rest Of Florida
Florida · 78494
Office
$205.15
Facility
Unavailable
$21.46 lower than Merced for the office setting.
Atlanta
Georgia · 78494
Office
$214.52
Facility
Unavailable
$12.09 lower than Merced for the office setting.
Rest Of Georgia
Georgia · 78494
Office
$193.38
Facility
Unavailable
$33.23 lower than Merced for the office setting.
Hawaii, Guam
Hawaii · 78494
Office
$233.03
Facility
Unavailable
$6.42 higher than Merced for the office setting.
Iowa
Iowa · 78494
Office
$194.89
Facility
Unavailable
$31.72 lower than Merced for the office setting.
Idaho
Idaho · 78494
Office
$195.96
Facility
Unavailable
$30.65 lower than Merced for the office setting.
East St. Louis
Illinois · 78494
Office
$200.59
Facility
Unavailable
$26.02 lower than Merced for the office setting.
Rest Of Illinois
Illinois · 78494
Office
$198.05
Facility
Unavailable
$28.56 lower than Merced for the office setting.
Suburban Chicago
Illinois · 78494
Office
$218.26
Facility
Unavailable
$8.35 lower than Merced for the office setting.
Indiana
Indiana · 78494
Office
$197.19
Facility
Unavailable
$29.42 lower than Merced for the office setting.
Kansas
Kansas · 78494
Office
$193.35
Facility
Unavailable
$33.26 lower than Merced for the office setting.
Kentucky
Kentucky · 78494
Office
$192.04
Facility
Unavailable
$34.57 lower than Merced for the office setting.
New Orleans
Louisiana · 78494
Office
$201.51
Facility
Unavailable
$25.10 lower than Merced for the office setting.
Rest Of Louisiana
Louisiana · 78494
Office
$191.49
Facility
Unavailable
$35.12 lower than Merced for the office setting.
Metropolitan Boston
Massachusetts · 78494
Office
$245.20
Facility
Unavailable
$18.59 higher than Merced for the office setting.
Rest Of Massachusetts
Massachusetts · 78494
Office
$220.08
Facility
Unavailable
$6.53 lower than Merced for the office setting.
Baltimore/Surr. Cntys
Maryland · 78494
Office
$224.79
Facility
Unavailable
$1.82 lower than Merced for the office setting.
Rest Of Maryland
Maryland · 78494
Office
$213.27
Facility
Unavailable
$13.34 lower than Merced for the office setting.
Rest Of Maine
Maine · 78494
Office
$196.41
Facility
Unavailable
$30.20 lower than Merced for the office setting.
Southern Maine
Maine · 78494
Office
$208.46
Facility
Unavailable
$18.15 lower than Merced for the office setting.
Detroit
Michigan · 78494
Office
$207.23
Facility
Unavailable
$19.38 lower than Merced for the office setting.
Rest Of Michigan
Michigan · 78494
Office
$196.75
Facility
Unavailable
$29.86 lower than Merced for the office setting.
Minnesota
Minnesota · 78494
Office
$213.89
Facility
Unavailable
$12.72 lower than Merced for the office setting.
Metropolitan Kansas City
Missouri · 78494
Office
$200.69
Facility
Unavailable
$25.92 lower than Merced for the office setting.
Metropolitan St. Louis
Missouri · 78494
Office
$202.97
Facility
Unavailable
$23.64 lower than Merced for the office setting.
Rest Of Missouri
Missouri · 78494
Office
$187.65
Facility
Unavailable
$38.96 lower than Merced for the office setting.
Mississippi
Mississippi · 78494
Office
$186.77
Facility
Unavailable
$39.84 lower than Merced for the office setting.
Montana**
Montana · 78494
Office
$211.09
Facility
Unavailable
$15.52 lower than Merced for the office setting.
North Carolina
North Carolina · 78494
Office
$198.66
Facility
Unavailable
$27.95 lower than Merced for the office setting.
North Dakota**
North Dakota · 78494
Office
$209.31
Facility
Unavailable
$17.30 lower than Merced for the office setting.
Nebraska
Nebraska · 78494
Office
$196.18
Facility
Unavailable
$30.43 lower than Merced for the office setting.
New Hampshire
New Hampshire · 78494
Office
$217.66
Facility
Unavailable
$8.95 lower than Merced for the office setting.
Northern Nj
New Jersey · 78494
Office
$240.83
Facility
Unavailable
$14.22 higher than Merced for the office setting.
Rest Of New Jersey
New Jersey · 78494
Office
$228.51
Facility
Unavailable
$1.90 higher than Merced for the office setting.
New Mexico
New Mexico · 78494
Office
$197.64
Facility
Unavailable
$28.97 lower than Merced for the office setting.
Nevada**
Nevada · 78494
Office
$210.76
Facility
Unavailable
$15.85 lower than Merced for the office setting.
Nyc Suburbs/Long Island
New York · 78494
Office
$248.16
Facility
Unavailable
$21.55 higher than Merced for the office setting.
Poughkpsie/N Nyc Suburbs
New York · 78494
Office
$229.56
Facility
Unavailable
$2.95 higher than Merced for the office setting.
Queens
New York · 78494
Office
$245.72
Facility
Unavailable
$19.11 higher than Merced for the office setting.
Rest Of New York
New York · 78494
Office
$201.73
Facility
Unavailable
$24.88 lower than Merced for the office setting.
Ohio
Ohio · 78494
Office
$196.38
Facility
Unavailable
$30.23 lower than Merced for the office setting.
Oklahoma
Oklahoma · 78494
Office
$192.30
Facility
Unavailable
$34.31 lower than Merced for the office setting.
Portland
Oregon · 78494
Office
$229.74
Facility
Unavailable
$3.13 higher than Merced for the office setting.
Rest Of Oregon
Oregon · 78494
Office
$209.52
Facility
Unavailable
$17.09 lower than Merced for the office setting.
Metropolitan Philadelphia
Pennsylvania · 78494
Office
$219.31
Facility
Unavailable
$7.30 lower than Merced for the office setting.
Rest Of Pennsylvania
Pennsylvania · 78494
Office
$197.04
Facility
Unavailable
$29.57 lower than Merced for the office setting.
Puerto Rico
Puerto Rico · 78494
Office
$212.91
Facility
Unavailable
$13.70 lower than Merced for the office setting.
Rhode Island
Rhode Island · 78494
Office
$217.09
Facility
Unavailable
$9.52 lower than Merced for the office setting.
South Carolina
South Carolina · 78494
Office
$197.77
Facility
Unavailable
$28.84 lower than Merced for the office setting.
South Dakota**
South Dakota · 78494
Office
$209.10
Facility
Unavailable
$17.51 lower than Merced for the office setting.
Tennessee
Tennessee · 78494
Office
$194.29
Facility
Unavailable
$32.32 lower than Merced for the office setting.
Austin
Texas · 78494
Office
$220.65
Facility
Unavailable
$5.96 lower than Merced for the office setting.
Beaumont
Texas · 78494
Office
$195.64
Facility
Unavailable
$30.97 lower than Merced for the office setting.
Brazoria
Texas · 78494
Office
$209.22
Facility
Unavailable
$17.39 lower than Merced for the office setting.
Dallas
Texas · 78494
Office
$210.34
Facility
Unavailable
$16.27 lower than Merced for the office setting.
Fort Worth
Texas · 78494
Office
$208.68
Facility
Unavailable
$17.93 lower than Merced for the office setting.
Galveston
Texas · 78494
Office
$209.70
Facility
Unavailable
$16.91 lower than Merced for the office setting.
Houston
Texas · 78494
Office
$211.35
Facility
Unavailable
$15.26 lower than Merced for the office setting.
Rest Of Texas
Texas · 78494
Office
$202.17
Facility
Unavailable
$24.44 lower than Merced for the office setting.
Utah
Utah · 78494
Office
$200.63
Facility
Unavailable
$25.98 lower than Merced for the office setting.
Virginia
Virginia · 78494
Office
$207.33
Facility
Unavailable
$19.28 lower than Merced for the office setting.
Virgin Islands
United States Virgin Islands · 78494
Office
$212.91
Facility
Unavailable
$13.70 lower than Merced for the office setting.
Vermont
Vermont · 78494
Office
$207.92
Facility
Unavailable
$18.69 lower than Merced for the office setting.
Rest Of Washington
Washington · 78494
Office
$219.85
Facility
Unavailable
$6.76 lower than Merced for the office setting.
Seattle (King Cnty)
Washington · 78494
Office
$250.92
Facility
Unavailable
$24.31 higher than Merced for the office setting.
Wisconsin
Wisconsin · 78494
Office
$201.90
Facility
Unavailable
$24.71 lower than Merced for the office setting.
West Virginia
West Virginia · 78494
Office
$190.21
Facility
Unavailable
$36.40 lower than Merced for the office setting.
Wyoming**
Wyoming · 78494
Office
$210.31
Facility
Unavailable
$16.30 lower than Merced for the office setting.
See how rates vary across the country
78494 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
$185.76
$257.71
Color shows the midpoint of each state’s locality range.
View all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | $240.12 | 1 |
| AL | $188.62 | 1 |
| AR | $185.76 | 1 |
| AZ | $205.41 | 1 |
| CA | $226.61–$288.81 | 29 |
| CO | $221.74 | 1 |
| CT | $225.54 | 1 |
| DC | $243.67 | 1 |
| DE | $208.95 | 1 |
| FL | $205.15–$222.63 | 3 |
| GA | $193.38–$214.52 | 2 |
| GU | $233.03 | 1 |
| HI | $233.03 | 1 |
| IA | $194.89 | 1 |
| ID | $195.96 | 1 |
| IL | $198.05–$218.26 | 4 |
| IN | $197.19 | 1 |
| KS | $193.35 | 1 |
| KY | $192.04 | 1 |
| LA | $191.49–$201.51 | 2 |
| MA | $220.08–$245.20 | 2 |
| MD | $213.27–$243.67 | 3 |
| ME | $196.41–$208.46 | 2 |
| MI | $196.75–$207.23 | 2 |
| MN | $213.89 | 1 |
| MO | $187.65–$202.97 | 3 |
| MS | $186.77 | 1 |
| MT | $211.09 | 1 |
| NC | $198.66 | 1 |
| ND | $209.31 | 1 |
| NE | $196.18 | 1 |
| NH | $217.66 | 1 |
| NJ | $228.51–$240.83 | 2 |
| NM | $197.64 | 1 |
| NV | $210.76 | 1 |
| NY | $201.73–$248.16 | 5 |
| OH | $196.38 | 1 |
| OK | $192.30 | 1 |
| OR | $209.52–$229.74 | 2 |
| PA | $197.04–$219.31 | 2 |
| PR | $212.91 | 1 |
| RI | $217.09 | 1 |
| SC | $197.77 | 1 |
| SD | $209.10 | 1 |
| TN | $194.29 | 1 |
| TX | $195.64–$220.65 | 8 |
| UT | $200.63 | 1 |
| VA | $207.33–$243.67 | 2 |
| VI | $212.91 | 1 |
| VT | $207.92 | 1 |
| WA | $219.85–$250.92 | 2 |
| WI | $201.90 | 1 |
| WV | $190.21 | 1 |
| WY | $210.31 | 1 |
Where does this rate apply?
Merced is a Medicare payment area. Our Census mapping connects it to 24 cities and communities in California, including the examples shown here.
Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 78494 in Merced. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$249.27
$226.61 × 110% = $249.27
A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.
Working with a whole code list?
Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.
How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 78494 in Merced.
PPRRVU2026_Oct_nonQPP.csv
9,416
- Code
- 78494
- Physician work
- 1.16
- Practice expense
- 5.07
- Malpractice
- 0.09
GPCI2026.csv
15
- Locality
- Merced
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.16 | × 1.017 | 1.1797 |
| Practice expense | 5.07 | × 1.096 | 5.5567 |
| Malpractice | 0.09 | × 0.536 | 0.0482 |
| Total RVUs | 6.7847 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Merced$226.61
Open 78494 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.16 | 1.017 |
| Practice expense | 5.07 | 1.096 |
| Malpractice | 0.09 | 0.536 |
(1.16 × 1.017 + 5.07 × 1.096 + 0.09 × 0.536) × $33.4009 = $226.61
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
How this rate has changed
78494 · Office / nonfacility
$226.61
Effective 2026-10-01
The base rate is $9.36 higher than on 2025-10-01, moving from $217.25 to $226.61 (4.3%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
January 1, 2026
RVU26A
$217.25changed to$226.61
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 1.19 changed to 1.16
- Practice expense RVU 5.00 changed to 5.07
- Malpractice RVU 0.08 changed to 0.09
- Work GPCI 1.014 changed to 1.017
- Practice expense GPCI 1.093 changed to 1.096
- Malpractice GPCI 0.560 changed to 0.536
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
Earliest loaded release: $217.25
Held through RVU25B, RVU25C, RVU25D.
Explore release dates and calculate this code in an earlier period →
Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.
Inspect every release and its CMS source
| Effective from | Office / nonfacility | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $226.61 | Not available in this setting | RVU26D |
| 2026-07-01 | $226.61 | Not available in this setting | RVU26C |
| 2026-04-01 | $226.61 | Not available in this setting | RVU26B |
| 2026-01-01 | $226.61 | Not available in this setting | RVU26A |
| 2025-10-01 | $217.25 | Not available in this setting | RVU25D |
| 2025-07-01 | $217.25 | Not available in this setting | RVU25C |
| 2025-04-01 | $217.25 | Not available in this setting | RVU25B |
| 2025-01-01 | $217.25 | Not available in this setting | RVU25A |
78494 billing questions
How does 78494 differ from 78472?
78494 is for gated equilibrium SPECT blood-pool imaging. 78472 is the planar version for a single study.
Is this a myocardial perfusion study?
No. It images the cardiac blood pool to evaluate ventricular function and wall motion. Codes 78451 and 78452 describe myocardial perfusion SPECT.
When should modifier 26 or TC be used?
Use modifier 26 for the physician’s interpretation and modifier TC for the technical service. Report without either modifier when billing the global service.
Which part is subject to the multiple-procedure reduction?
CMS applies the cardiovascular diagnostic multiple-procedure reduction to the technical component. The stated reduction rule does not apply to the professional component.
What documentation supports reporting 78494?
Document the indication, gated equilibrium blood-pool SPECT technique, and interpretation. The record should distinguish this acquisition from planar or first-pass imaging.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
9,41378492,,Myocrd img pet mlt rst&strs,C,,0.00,0.00,,0.00,NA,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,44.38,44.38,0.07
9,41478492,26,Myocrd img pet mlt rst&strs,A,,1.76,0.65,,0.65,,0.06,2.47,2.47,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9,41578492,TC,Myocrd img pet mlt rst&strs,C,,0.00,0.00,,0.00,NA,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,01,0,99,43.73,43.73,0.01
9,41678494,,Heart image spect,A,,1.16,5.07,,5.07,NA,0.09,6.32,6.32,1,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,09,0,99,12.54,12.54,0.16
9,41778494,26,Heart image spect,A,,1.16,0.42,,0.42,,0.05,1.63,1.63,1,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9,41878494,TC,Heart image spect,A,,0.00,4.65,,4.65,NA,0.04,4.69,4.69,1,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,01,0,99,12.12,12.12,0.11
9,41978496,,Heart first pass add-on,A,,0.49,0.75,,0.75,NA,0.03,1.27,1.27,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1201112,CA,57,HANFORD-CORCORAN,1.017,1.096,0.536
1301182,CA,18,LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY),1.041,1.183,0.664
1401112,CA,58,MADERA,1.017,1.096,0.536
1501112,CA,59,MERCED,1.017,1.096,0.536
1601112,CA,60,MODESTO,1.017,1.096,0.536
1701112,CA,51,NAPA,1.063,1.318,0.508
1801182,CA,17,OXNARD-THOUSAND OAKS-VENTURA,1.028,1.182,0.623