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North Carolina 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
$83.87 / $107.88 / $142.93
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$83.87 / $90.00 / $375.00
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$147.63 / $215.91 / $215.91
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$95.81 / $95.81 / $95.81
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$98.41 / $160.80 / $252.54
Medcost
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$116.38 / $141.53 / $220.81
Medcost
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$141.53 / $141.53 / $141.53
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$89.84 / $116.50 / $234.73
Wellcare
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$197.95 / $245.42 / $1,566.00
Wellcare
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$1,566.00 / $1,566.00 / $2,733.83