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South Dakota 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 $85 · 10th–90th $85–$850%50%$85Professionalmedian $129 · 10th–90th $85–$2450%10%10th90th$129$50.0$100.0$200.0$500.0$1.0K$2.0K

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$85.11 / $85.11 / $85.11
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$85.11 / $100.00 / $263.03
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$177.83 / $194.98 / $245.47
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$75.86 / $117.49 / $251.19
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$208.93 / $208.93 / $208.93
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$107.15 / $151.36 / $158.49
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$75.86 / $134.90 / $229.09
Wellmark
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$158.49 / $186.21 / $186.21