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Idaho 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
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,819.70 / $1,995.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,041.74 / $3,467.37 / $5,495.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $776.25 / $3,388.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,041.74 / $4,168.69 / $5,011.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $331.13 / $812.83
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.18 / $891.25 / $2,344.23
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,513.56 / $2,187.76
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $4,073.80 / $5,370.32
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $870.96 / $912.01
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $776.25 / $3,467.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $1,202.26 / $2,398.83