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North Carolina 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
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$72.87 / $84.62 / $112.70
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$83.32 / $83.32 / $83.32
Medcost
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$91.75 / $111.20 / $223.96
Wellcare
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$174.44 / $245.42 / $1,078.00