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South Dakota rates for HCPCS 78429

Myocardial imaging, positron emission tomography (PET), metabolic evaluation study (including ventricular wall motion[s] and/or ejection fraction[s], when performed), single study; with concurrently acquired computed tomography transmission scan

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$80.61 / $80.61 / $80.61
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$101.56 / $132.77 / $151.37