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
$226.80 / $226.80 / $226.80
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$90.00 / $250.00 / $265.00
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$73.62 / $82.28 / $174.68
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$138.24 / $146.62 / $167.56
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$4,365.97 / $4,365.97 / $4,365.97
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$164.47 / $176.73 / $214.30
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$75.81 / $99.56 / $178.16