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Kansas 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
$1,407.11 / $2,999.00 / $6,419.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,270.50 / $1,300.00 / $1,407.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$969.57 / $1,113.53 / $1,564.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,178.14 / $1,178.14 / $1,178.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,134.79 / $1,944.33 / $5,470.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.51 / $435.87 / $2,042.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$529.78 / $1,461.08 / $2,080.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$568.29 / $1,503.94 / $9,962.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$633.00 / $1,458.39 / $2,379.94