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Illinois 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 $120 · 10th–90th $71–$2190%10%20%10th90th$120Professionalmedian $112 · 10th–90th $76–$2400%10%10th90th$112$100.0$200.0$500.0

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
$70.79 / $120.23 / $218.78
Hally Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$75.86 / $112.20 / $229.09
Hally Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00