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Virginia 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 $148 · 10th–90th $126–$5500%20%40%10th90th$148Professionalmedian $126 · 10th–90th $83–$2630%20%10th90th$126$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$125.89 / $147.91 / $549.54
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$89.13 / $125.89 / $371.54
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$79.43 / $107.15 / $165.96
CareFirst
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$79.43 / $87.10 / $134.90
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$66.07 / $120.23 / $190.55
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$83.18 / $107.15 / $120.23
Medcost
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$134.90 / $141.25 / $186.21
Sentara
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$95.50 / $120.23 / $204.17
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$72.44 / $114.82 / $177.83