go back

Idaho 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
$234.42 / $234.42 / $234.42
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$83.18 / $151.36 / $263.03
BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$4,365.16 / $4,365.16 / $4,365.16
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$141.25 / $165.96 / $208.93
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$74.13 / $74.13 / $173.78
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$138.04 / $151.36 / $239.88
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$4,365.16 / $4,365.16 / $4,365.16
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$154.88 / $177.83 / $218.78
Select Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$83.18 / $83.18 / $181.97
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$75.86 / $100.00 / $177.83