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Massachusetts 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
$81.78 / $125.00 / $246.15
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$83.97 / $125.00 / $174.86
AllWays Health Partners
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$195.17 / $259.38 / $306.86
AllWays Health Partners
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$61.88 / $107.80 / $2,733.83
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$90.72 / $125.13 / $258.26
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$101.17 / $180.25 / $251.97
Mass General Brigham
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$197.95 / $197.95 / $1,566.00
Mass General Brigham
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$80.45 / $122.47 / $2,733.83
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$79.45 / $109.81 / $232.07