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Oregon 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
$101.50 / $112.46 / $226.66
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$45.43 / $104.76 / $108.37
Pacific Source
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$68.31 / $88.31 / $94.47
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$4,053.27 / $4,053.27 / $4,053.27