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Nebraska 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
$80.73 / $445.72 / $751.30
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$80.73 / $87.00 / $492.43
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$148.66 / $158.90 / $162.87
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$468.90 / $468.90 / $468.90
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$160.99 / $190.82 / $238.53
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$1,566.00 / $1,566.00 / $1,566.00
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$105.75 / $166.22 / $253.77
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$291.50 / $299.99 / $468.90
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$105.75 / $164.26 / $213.10