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West Virginia 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
$1,313.10 / $2,840.00 / $2,840.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,000.00 / $2,840.00
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,400.00 / $2,400.00 / $2,400.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$495.11 / $1,883.48 / $2,543.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.14 / $542.33 / $2,075.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$609.10 / $1,179.06 / $2,496.75