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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 / $117.49 / $144.54
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$87.10 / $100.00 / $218.78
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$66.07 / $89.13 / $104.71
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$74.13 / $87.10 / $144.54
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$100.00 / $117.49 / $204.17
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$81.28 / $100.00 / $169.82