go back

Utah 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
$200.00 / $200.00 / $200.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$200.00 / $200.00 / $200.00
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$106.64 / $123.63 / $181.83
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$2,694.22 / $2,694.22 / $2,694.22
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$122.94 / $184.53 / $196.15
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$75.45 / $99.06 / $147.60