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Maryland 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
$1,000.00 / $1,378.28 / $1,411.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,000.00 / $1,300.00
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$503.51 / $1,558.61 / $1,852.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$447.78 / $736.11 / $1,700.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$442.46 / $600.79 / $1,048.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$534.86 / $1,475.41 / $2,690.73
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,068.50 / $1,068.50 / $2,250.73