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Pennsylvania 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)

Facilitymedian $3,311 · 10th–90th $1,000$6,9180%10%20%10th90th$3,311Professionalmedian $1,000 · 10th–90th $1,000$1,9500%20%40%90th$1,000$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,096.48 / $3,311.31 / $6,918.31
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,000.00 / $1,000.00 / $1,905.46
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $8,511.38 / $77,624.71
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,513.56 / $1,548.82 / $2,454.71
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$549.54 / $1,548.82 / $4,677.35
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $467.74 / $851.14
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,238.72 / $2,238.72 / $2,238.72
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,174.90 / $1,995.26 / $3,090.30
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$602.56 / $1,174.90 / $2,238.72
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,000.00 / $3,311.31 / $7,413.10
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,000.00 / $1,000.00 / $2,187.76
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $323.59 / $323.59
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$48.98 / $398.11 / $1,445.44
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $416.87 / $1,445.44
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,570.40 / $4,265.80 / $4,897.79
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$933.25 / $1,513.56 / $2,691.53