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Montana 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;

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$113.05 / $113.05 / $139.75
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$113.05 / $113.05 / $139.75