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Hawaii 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 $87–$1170%20%40%10th90th$100Professionalmedian $126 · 10th–90th $89–$2190%20%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
$87.10 / $100.00 / $117.49
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$89.13 / $125.89 / $218.78
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$107.15 / $117.49 / $194.98
HMSA
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$114.82 / $117.49 / $120.23
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$97.72 / $107.15 / $123.03
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$69.18 / $128.82 / $144.54
University Health Alliance
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$107.15 / $125.89 / $151.36