Table 7Cost Estimates Based on the Ontario Schedule of Benefits for Physician Services Under the Health Insurance Act (September 2011)74

Fee CodeDescriptionTech.
Fees ($)
Prof.
Fees ($)
Total
Costs ($)
99mTc-SPECT MPI
J866Myocardial perfusion scintigraphy application of SPECT (maximum 1 per examination)44.6031.1075.7
J813Studies with ejection fraction138.6082.25220.85
J807Myocardial perfusion scintigraphy — resting, immediate post-stress223.1550.15273.3
J808MPI — delayed82.1527.45109.6
G315/G319Maximal stress ECG44.6062.65107.25
G111/G112Dipyridamole-thallium stress test52.0575.00127.05
Maintenance fees — from global budget50.7850.78
TOTAL635.93328.6964.53
201TI-SPECT MPI
J866Myocardial perfusion scintigraphy application of SPECT (maximum 1 per examination)44.6031.1075.7
J813Studies with ejection fraction138.6082.25220.85
J807Myocardial perfusion scintigraphy — resting, immediate post stress223.1550.15273.3
J808MPI — delayed82.1527.45109.6
G315/G319Maximal stress ECG44.6062.65107.25
G111/G112Dipyridamole-thallium stress test52.0575.00127.05
Maintenance fees — from global budget50.7850.78
TOTAL635.93328.6964.53
CTCA
X235Cardiothoracic CT155.25155.25
Technical cost — from global budget300.00300.00
Maintenance fees — from global budget50.7850.78
TOTAL350.78155.25506.03
Stress Echo
G570/G571Complete study — 1 and 2 dimensions76.4574.10150.55
G577/G578Cardiac Doppler study, with or without colour Doppler, in conjunction with complete 1 and 2 dimension Echo studies45.1536.9082.05
G315/G319Maximal stress ECG44.6062.65107.25
G111/G112Dipyridamole-thallium stress test52.0575.00127.05
TOTAL218.25248.65466.90
Stress MRI
X441CMRI — thorax — multislice sequence77.2077.20
X445C (×3)Repeat (another plane, different pulse sequence — to a maximum of 3 repeats)38.65 (×3) = 115.95115.95
X499C3-D MRI acquisition sequence, including post-processing (minimum of 60 slices; maximum 1 per patient per day)65.4065.40
G315/G319Maximal stress ECG44.6062.65107.25
X486CWhen cardiac gating is performed (must include application of chest electrodes and ECG interpretation), add 30%96.3696.36
Technical cost — from global budget300.00300.00
Maintenance fees — from global budget73.0073.00
TOTAL417.60417.56835.16
Stress PET
J866Myocardial perfusion scintigraphy application of SPECT (maximum 1 per examination)31.1031.10
J813Studies with ejection fraction82.2582.25
J807Myocardial perfusion scintigraphy — resting, immediate post-stress50.1550.15
J808MPI — delayed27.4527.45
G315/G319Maximal stress ECG62.6562.65
G111/G112Dipyridamole-thallium stress test75.0075.00
Technical cost — from global budget800.00800.00
TOTAL800.00328.601128.60

3-D = three-dimensional; CT = computed tomography; CTCA = computed tomography coronary angiography; ECG = electrocardiogram; MPI = myocardial perfusion imaging; MRI = magnetic resonance imaging; PET = positron emission tomography; Prof. = professional; SPECT = single-photon emission computed tomography; 99mTc = technetium-99m; 201TI = thallium-201; tech. = technical.

From: APPENDIX 2.8, Detection of Ischemia

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Optimizing Health System Use of Medical Isotopes and Other Imaging Modalities [Internet].
Mujoomdar M, Russell E, Dionne F, et al.
Copyright © 2012 CADTH.

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