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Colorado 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

Facilitymedian $100 · 10th–90th $100–$1550%50%90th$100Professionalmedian $126 · 10th–90th $83–$3020%10%10th90th$126$10.0$20.0$50.0$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$100.00 / $100.00 / $154.88
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$83.18 / $125.89 / $302.00
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$72.44 / $117.49 / $169.82
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$83.18 / $104.71 / $194.98
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$125.89 / $125.89 / $125.89
Select Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$85.11 / $89.13 / $89.13
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$79.43 / $147.91 / $239.88