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West 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)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$83.31 / $83.31 / $83.31
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$83.31 / $125.00 / $291.50
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$95.81 / $95.81 / $95.81
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$97.22 / $108.73 / $1,674.63
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$60.43 / $81.91 / $163.40