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North Carolina 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 $224 · 10th–90th $87$3020%10%20%10th90th$224Professionalmedian $135 · 10th–90th $83$3720%20%10th90th$135$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
$87.10 / $223.87 / $302.00
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$83.18 / $134.90 / $371.54
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$128.82 / $128.82 / $147.91
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$229.09 / $234.42 / $302.00
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$104.71 / $154.88 / $263.03
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$89.13 / $120.23 / $223.87
Wellcare
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$549.54 / $549.54 / $549.54
Wellcare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$549.54 / $691.83 / $691.83