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New York 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
$97.41 / $125.00 / $177.29
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$90.01 / $90.01 / $90.01
MVP Health Care
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$90.01 / $90.01 / $90.01
Univera
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$84.19 / $84.19 / $102.32