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Delaware 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 $117 · 10th–90th $100–$3240%20%10th90th$117Professionalmedian $126 · 10th–90th $87–$2190%50%10th90th$126$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$100.00 / $117.49 / $323.59
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$89.13 / $125.89 / $281.84
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$63.10 / $102.33 / $169.82
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$72.44 / $112.20 / $208.93