go back

Illinois 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 $174 · 10th–90th $89–$2190%20%40%10th90th$174Professionalmedian $105 · 10th–90th $74–$2190%10%10th90th$105$100.0$200.0$500.0$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 / $173.78 / $218.78
Hally Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$74.13 / $104.71 / $218.78
Hally Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00