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North Carolina rates for HCPCS 78429

Myocardial imaging, positron emission tomography (PET), metabolic evaluation study (including ventricular wall motion[s] and/or ejection fraction[s], when performed), single study; with concurrently acquired computed tomography transmission scan

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$79.34 / $79.34 / $188.71
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$90.01 / $90.01 / $90.01
Medcost
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$92.22 / $125.43 / $212.02
Wellcare
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$188.78 / $188.78 / $384.32