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Minnesota rates for HCPCS 78454

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
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$64.64 / $64.64 / $64.64
BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$52.98 / $52.98 / $52.98
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$154.13 / $218.58 / $525.83
Health Partners
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$121.37 / $199.84 / $414.04