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Wisconsin 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 $158 · 10th–90th $100–$3720%20%10th90th$158Professionalmedian $200 · 10th–90th $200–$2000%50%100%$200$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$100.00 / $100.00 / $158.49
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$199.53 / $229.09 / $371.54
Quartz
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$173.78 / $478.63 / $478.63
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$199.53 / $199.53 / $199.53