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Wisconsin 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 $174 · 10th–90th $100–$4170%20%10th90th$174Professionalmedian $126 · 10th–90th $81–$3720%10%10th90th$126$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
$100.00 / $100.00 / $173.78
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$85.11 / $117.49 / $208.93
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$81.28 / $125.89 / $478.63
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$223.87 / $257.04 / $416.87
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$125.89 / $302.00 / $338.84
DeanCare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$165.96 / $194.98 / $234.42
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$93.33 / $190.55 / $2,691.53
Network Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$120.23 / $218.78 / $323.59
Quartz
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$194.98 / $1,548.82 / $1,548.82
Quartz
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$134.90 / $426.58 / $2,754.23
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$218.78 / $218.78 / $218.78
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$154.88 / $1,122.02 / $1,122.02
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$91.20 / $173.78 / $380.19