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Georgia 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
$181.97 / $371.54 / $416.87
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$83.18 / $147.91 / $371.54
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$66.07 / $141.25 / $165.96
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$91.20 / $112.20 / $165.96
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$93.33 / $151.36 / $263.03
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$95.50 / $109.65 / $173.78
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$81.28 / $112.20 / $208.93