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New York 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
$42.22 / $91.54 / $146.58
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$72.19 / $72.19 / $72.19
MVP Health Care
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$72.19 / $72.19 / $72.19
Univera
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$67.53 / $67.53 / $161.99