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Georgia 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
$2,344.23 / $6,309.57 / $8,709.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,288.25 / $1,819.70
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $1,659.59 / $4,570.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $1,258.93 / $2,290.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.23 / $851.14 / $5,011.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $660.69 / $1,548.82
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $954.99 / $2,630.27
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $2,089.30 / $2,398.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,148.15 / $3,715.35 / $3,715.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,698.24 / $3,235.94