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North Dakota 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
$125.00 / $125.00 / $149.40
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$89.41 / $200.00 / $265.00
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$166.63 / $200.35 / $219.66
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$115.81 / $163.66 / $215.22
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$102.00 / $176.19 / $554.45
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$102.00 / $166.91 / $219.69