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Nebraska 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 $331 · 10th–90th $72–$4170%20%40%10th90th$331Professionalmedian $166 · 10th–90th $145–$1860%20%40%10th90th$166$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$72.44 / $72.44 / $74.13
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$416.87 / $416.87 / $416.87
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$331.13 / $331.13 / $331.13
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$144.54 / $165.96 / $186.21
Midlands
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$416.87 / $416.87 / $416.87