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Minnesota 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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$76.53 / $76.53 / $76.53
BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$62.77 / $62.77 / $62.77
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$184.46 / $261.58 / $629.27
Health Partners
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$145.24 / $239.15 / $495.49