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Nebraska 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
$75.86 / $75.86 / $77.62
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$436.52 / $436.52 / $436.52
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$354.81 / $354.81 / $354.81
Midlands
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$151.36 / $173.78 / $194.98
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$436.52 / $436.52 / $436.52