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Arizona rates for HCPCS 78431

Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); multiple studies at rest and stress (exercise or pharmacologic), with concurrently acquired computed tomography transmission scan

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$122.74 / $296.94 / $371.16
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$90.00 / $170.50 / $395.25
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$116.23 / $116.23 / $116.23
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$77.56 / $103.43 / $501.00
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$60.68 / $116.59 / $181.24
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$207.94 / $392.09 / $392.09
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$75.81 / $84.80 / $415.57
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$75.67 / $84.39 / $173.39