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New York 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 $85$2400%20%10th90th$112$20.0$50.0$100.0$200.0

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
$93.33 / $112.20 / $239.88
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$17.78 / $83.18 / $120.23
Univera
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$60.26 / $77.62 / $251.19