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Iowa 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 $100 · 10th–90th $100–$2340%50%90th$100Professionalmedian $151 · 10th–90th $95–$6170%10%10th90th$151$100.0$200.0$500.0

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 / $102.33
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$234.42 / $234.42 / $234.42
Hally Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$77.62 / $114.82 / $794.33
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$223.87 / $331.13 / $331.13
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$138.04 / $158.49 / $316.23
Midlands
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$234.42 / $234.42 / $234.42