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Wyoming 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
Professional
Modifier
Low / Median / High Price
$1,529.26 / $1,529.26 / $1,529.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,111.00 / $1,111.00 / $1,824.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$608.08 / $608.08 / $1,217.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$511.37 / $2,608.35 / $3,590.56