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Ohio 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)

Facilitymedian $115 · 10th–90th $100–$2950%20%40%10th90th$115Professionalmedian $126 · 10th–90th $85–$2190%20%10th90th$126$1.0$5.0$20.0$100.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$100.00 / $114.82 / $295.12
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$85.11 / $125.89 / $245.47
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$100.00 / $134.90 / $213.80
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$81.28 / $114.82 / $199.53
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$81.28 / $112.20 / $218.78
SummaCare
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$1,737.80 / $1,737.80 / $1,737.80
SummaCare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$89.13 / $100.00 / $162.18
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$61.66 / $95.50 / $169.82