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Missouri 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
$74.84 / $118.26 / $190.89
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$83.50 / $100.00 / $492.43
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$88.87 / $109.33 / $183.11
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$73.31 / $125.36 / $179.86
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$197.95 / $1,566.00 / $1,566.00
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$77.79 / $110.74 / $2,660.92
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$78.39 / $107.74 / $185.93