go back

California rates for HCPCS 78430

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

Facilitymedian $263 · 10th–90th $89–$5130%20%10th90th$263Professionalmedian $95 · 10th–90th $71–$1620%10%20%10th90th$95$10.0$50.0$200.0$1.0K

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
$89.13 / $204.17 / $512.86
Contra Costa Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.23 / $85.11 / $93.33
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$74.13 / $97.72 / $177.83
Lucent Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$478.63 / $478.63 / $478.63
Providence
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$63.10 / $63.10 / $63.10