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Connecticut 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
$1,202.26 / $5,128.61 / $7,413.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,071.52 / $2,691.53
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $416.87 / $2,290.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,318.26 / $1,905.46 / $3,981.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $1,584.89 / $2,344.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $645.65 / $1,698.24
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $524.81 / $1,318.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $2,041.74 / $3,235.94