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North Carolina 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
$41.99 / $62.98 / $78.77
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$51.90 / $51.90 / $51.90
Medcost
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$69.51 / $69.51 / $134.38
Wellcare
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$109.48 / $149.71 / $224.87