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Idaho 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
$223.87 / $223.87 / $223.87
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$93.33 / $154.88 / $263.03
BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$2,884.03 / $2,884.03 / $2,884.03
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$138.04 / $158.49 / $194.98
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$69.18 / $69.18 / $173.78
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$134.90 / $165.96 / $229.09
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$2,884.03 / $2,884.03 / $2,884.03
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$147.91 / $165.96 / $208.93
Select Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$79.43 / $79.43 / $194.98
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$75.86 / $93.33 / $177.83