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Pennsylvania 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
$158.49 / $331.13 / $489.78
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$85.11 / $125.89 / $331.13
Capital Blue Cross
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$83.18 / $87.10 / $162.18
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$61.66 / $104.71 / $165.96
Emblem Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$112.20 / $112.20 / $131.83
Geisinger
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$89.13 / $114.82 / $177.83
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$123.03 / $123.03 / $245.47
Martin's Point
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$158.49 / $239.88 / $467.74
Martin's Point
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$89.13 / $125.89 / $275.42
UPMC Health Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$83.18 / $112.20 / $112.20
UPMC Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$83.18 / $112.20 / $112.20
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$74.13 / $100.00 / $165.96