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Tennessee 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
$1,485.00 / $1,805.00 / $2,668.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,351.94 / $1,500.00 / $1,600.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,019.80 / $1,611.43 / $2,846.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$749.94 / $936.82 / $2,096.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$313.42 / $589.89 / $937.28
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$924.23 / $4,442.64 / $5,153.84
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,302.23 / $9,962.67 / $10,235.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$986.33 / $1,626.11 / $3,778.34