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Indiana 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
$100.00 / $100.00 / $137.44
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$100.00 / $100.00 / $265.00
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$86.53 / $97.60 / $110.28
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$69.76 / $87.21 / $123.83
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$99.28 / $117.36 / $200.54
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$82.26 / $104.43 / $225.93