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Oklahoma 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
$84.68 / $88.07 / $481.23
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$100.00 / $118.75 / $200.00
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$74.31 / $88.21 / $139.55
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
$62.15 / $81.54 / $176.23
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$62.15 / $81.54 / $108.86