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Arizona 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
$1,731.00 / $2,971.00 / $3,714.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,238.00 / $1,238.00 / $1,238.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,504.63 / $5,714.14 / $9,051.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,401.06 / $1,868.08 / $9,048.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,125.00 / $3,812.07 / $4,263.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.86 / $797.10 / $2,005.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.84 / $1,238.00 / $2,562.73
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$565.41 / $1,290.55 / $9,962.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$511.37 / $1,290.55 / $2,784.21