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Minnesota 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 $288 · 10th–90th $89–$6460%10%10th90th$288Professionalmedian $151 · 10th–90th $89–$2570%10%10th90th$151$100.0$200.0$500.0

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
$89.13 / $89.13 / $89.13
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$85.11 / $125.89 / $251.19
BCBS
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$63.10 / $75.86 / $75.86
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$147.91 / $181.97 / $251.19
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$229.09 / $323.59 / $776.25
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$131.83 / $165.96 / $263.03
Health Partners
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$251.19 / $309.03 / $616.60
Health Partners
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$131.83 / $131.83 / $204.17
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$95.50 / $169.82 / $398.11
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$100.00 / $177.83 / $288.40