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Georgia rates for HCPCS 78453

Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); single study, at rest or stress (exercise or pharmacologic)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$40.61 / $100.89 / $209.50
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$48.90 / $77.95 / $254.25