go back

Nebraska 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
$44.46 / $241.66 / $407.34
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$254.10 / $254.10 / $254.10
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$207.37 / $207.37 / $207.37
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$147.66 / $151.96 / $254.10