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Indiana 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
$99.20 / $100.00 / $130.97
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$100.00 / $100.00 / $265.00
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$79.05 / $138.19 / $186.57
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$103.01 / $120.30 / $227.87
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$78.33 / $102.70 / $189.49