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New Mexico 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
$120.23 / $125.89 / $144.54
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$85.11 / $151.36 / $371.54
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$102.33 / $141.25 / $204.17
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$102.33 / $134.90 / $204.17
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$79.43 / $85.11 / $158.49