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Nebraska 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
$138.04 / $194.98 / $602.56
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$346.74 / $346.74 / $346.74
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$281.84 / $281.84 / $281.84
Midlands
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$123.03 / $138.04 / $154.88
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$346.74 / $346.74 / $346.74