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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
$309.03 / $380.19 / $426.58
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$89.13 / $154.88 / $398.11
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$79.43 / $138.04 / $144.54
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$102.33 / $102.33 / $501.19
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$61.66 / $120.23 / $181.97
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$208.93 / $389.05 / $389.05
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$75.86 / $89.13 / $549.54
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$75.86 / $85.11 / $173.78