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North Dakota 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 / $1,000.00 / $1,586.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,580.45 / $1,600.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,120.71 / $2,516.01 / $2,605.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$451.04 / $2,013.25 / $2,798.66
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$384.92 / $1,300.00 / $2,197.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$983.35 / $2,646.97 / $9,962.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,532.45 / $2,592.58 / $3,829.89