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Rhode Island 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
$5,000.00 / $5,000.00 / $5,000.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,300.00 / $1,400.59 / $1,900.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,245.32 / $3,057.98 / $3,399.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$813.66 / $1,593.74 / $1,593.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$834.09 / $3,826.84 / $6,727.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$553.58 / $937.25 / $961.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.95 / $1,271.82 / $2,545.84