| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $75.34 | $75.34 | $75.34 |
Health Alliance Plan
| Facility | 26 | $49.95 | $49.95 | $75.34 |
Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studies, at rest and/or stress (exercise or pharmacologic) and/or redistribution and/or rest reinjection
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $75.34 | $75.34 | $75.34 |
Health Alliance Plan
| Facility | 26 | $49.95 | $49.95 | $75.34 |