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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
$127.01 / $127.01 / $174.86
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$90.00 / $265.00 / $291.50
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$101.21 / $123.22 / $167.34
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$101.21 / $136.41 / $167.34
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$75.77 / $83.84 / $184.37