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Nebraska 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
$83.18 / $83.18 / $87.10
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$81.28 / $89.13 / $165.96
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$70.79 / $70.79 / $165.96
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$151.36 / $162.18 / $169.82
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$489.78 / $489.78 / $489.78
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$165.96 / $204.17 / $257.04
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$389.05 / $389.05 / $389.05
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$93.33 / $144.54 / $257.04
Midlands
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$169.82 / $194.98 / $213.80
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$489.78 / $489.78 / $489.78
Midlands
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$199.53 / $199.53 / $208.93
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$93.33 / $169.82 / $234.42