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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
$89.13 / $125.89 / $154.88
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$85.11 / $125.89 / $239.88
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$151.36 / $199.53 / $223.87
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$107.15 / $138.04 / $213.80
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$89.13 / $173.78 / $549.54
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$89.13 / $169.82 / $239.88