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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;

Facilitymedian $112 · 10th–90th $72–$2510%10%20%10th90th$112Professionalmedian $135 · 10th–90th $135–$1350%50%100%$135$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$72.44 / $112.20 / $251.19
Medcost
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$134.90 / $134.90 / $134.90
Wellcare
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$1,047.13 / $1,071.52 / $1,071.52