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South Dakota 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
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$80.66 / $106.67 / $121.62