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Arkansas 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
Facility
Modifier
Low / Median / High Price
$1,400.00 / $1,400.00 / $3,605.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$950.00 / $1,400.00 / $1,400.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,385.49 / $1,385.49 / $1,507.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$855.11 / $980.87 / $1,257.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.25 / $368.83 / $3,589.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.08 / $523.08 / $658.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$698.47 / $1,518.29 / $2,433.84