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Connecticut rates for HCPCS 78492

Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$135.00 / $302.83 / $387.01
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$90.00 / $125.00 / $209.31
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$83.05 / $128.38 / $198.71
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$108.26 / $123.91 / $223.01
ConnectiCare
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$93.65 / $99.13 / $101.79
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$79.31 / $122.12 / $179.08