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Montana 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
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$98.32 / $98.32 / $121.55
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$98.32 / $98.32 / $121.55