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Rhode Island 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
$525.44 / $525.44 / $525.44
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$100.00 / $125.00 / $265.00
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$68.79 / $98.27 / $165.25
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$102.36 / $175.81 / $176.97
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$63.97 / $101.46 / $146.21