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Iowa 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
$384.92 / $1,990.00 / $2,505.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,130.00 / $1,300.00 / $1,300.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,145.68 / $3,240.05 / $3,334.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,077.20 / $3,542.07 / $3,846.50
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$875.97 / $1,552.49 / $2,530.42
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$160.85 / $2,197.00 / $4,096.58
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$529.17 / $1,499.58 / $4,096.58
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.58 / $1,339.02 / $3,334.42
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.75 / $869.06 / $3,249.58
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.79 / $130.66 / $1,614.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$771.52 / $1,519.41 / $2,665.88
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,314.86 / $2,930.20 / $3,447.30