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New York 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
$31.06 / $67.45 / $109.50
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$51.90 / $51.90 / $51.90
MVP Health Care
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$51.90 / $51.90 / $51.90
Univera
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$48.63 / $48.63 / $122.35