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Pennsylvania 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)

Facilitymedian $120 · 10th–90th $54$1780%10%10th90th$120$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$53.70 / $120.23 / $177.83
Martin's Point
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$44.67 / $95.50 / $162.18
UPMC Health Plan
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$45.71 / $45.71 / $48.98