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North Carolina 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
$273.44 / $1,419.24 / $1,419.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,419.24 / $1,500.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.09 / $160.94 / $209.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$495.11 / $495.11 / $495.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.14 / $705.95 / $1,204.21
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$342.37 / $1,419.24 / $3,143.28
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.00 / $90.00 / $1,971.87
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.58 / $128.52 / $1,157.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$735.44 / $1,641.50 / $3,645.98
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$924.23 / $4,442.64 / $5,153.84
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,302.23 / $10,235.64 / $10,235.64