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South Dakota 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
$47.10 / $47.10 / $47.10
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$59.64 / $77.73 / $88.63