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Wisconsin 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

Facilitymedian $132 · 10th–90th $95–$3090%20%10th90th$132Professionalmedian $166 · 10th–90th $166–$1660%50%100%$166$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$95.50 / $95.50 / $131.83
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$165.96 / $190.55 / $309.03
Quartz
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$147.91 / $398.11 / $398.11
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$165.96 / $165.96 / $165.96