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Alaska rates for HCPCS 78491

Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,031.00 / $3,031.00 / $3,031.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,145.58 / $1,145.58 / $1,346.39
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,334.33 / $4,334.33 / $4,334.33
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$419.95 / $419.95 / $599.92
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,578.75 / $1,780.65 / $2,435.73
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,334.33 / $4,334.33 / $4,334.33
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$599.92 / $1,648.75 / $2,885.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$931.42 / $3,278.76 / $5,153.91