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Illinois 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
$43.54 / $83.08 / $138.30
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$48.26 / $65.81 / $131.04
Hally Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$100.00 / $100.00 / $100.00