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Wisconsin 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
$100.00 / $100.00 / $166.21
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$206.36 / $234.50 / $369.92
Quartz
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$354.23 / $354.23 / $354.23