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Vermont 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
Professional
Modifier
26
Low / Median / High Price
$125.00 / $125.00 / $291.50
BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$575.87 / $575.87 / $575.87
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$116.60 / $125.11 / $351.33
MVP Health Care
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$116.60 / $125.11 / $351.33
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$95.67 / $123.27 / $191.88