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Virginia 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 $126 · 10th–90th $126–$4270%20%40%90th$126Professionalmedian $95 · 10th–90th $71–$1910%20%10th90th$95$100.0$200.0$500.0$1.0K$2.0K

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
$125.89 / $125.89 / $426.58
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$70.79 / $91.20 / $102.33
Medcost
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$107.15 / $109.65 / $190.55