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California rates for HCPCS 78459

Myocardial imaging, positron emission tomography (PET), metabolic evaluation study (including ventricular wall motion[s] and/or ejection fraction[s], when performed), single study;

Facilitymedian $263 · 10th–90th $195–$1,0470%20%10th90th$263Professionalmedian $93 · 10th–90th $71–$1510%10%10th90th$93$50.0$100.0$200.0$500.0$1.0K

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$89.13 / $263.03 / $512.86
Contra Costa Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$81.28 / $81.28 / $109.65
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$70.79 / $93.33 / $169.82
Lucent Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$851.14 / $1,047.13 / $1,071.52
Providence
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$61.66 / $61.66 / $61.66