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New York 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
$103.14 / $125.00 / $193.45
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$93.63 / $125.00 / $265.00
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$70.59 / $92.28 / $198.71
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
$62.41 / $117.25 / $259.25
Emblem Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$73.03 / $102.17 / $172.57
Excellus BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$73.03 / $94.62 / $148.22
MVP Health Care
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$95.81 / $95.81 / $95.81
MVP Health Care
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$65.27 / $119.64 / $282.22
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$69.77 / $94.14 / $194.43
Univera
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$89.87 / $89.87 / $313.66
Univera
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$78.44 / $94.91 / $243.18