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Rhode Island 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
Professional
Modifier
26
Low / Median / High Price
$95.50 / $125.89 / $309.03
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$66.07 / $77.62 / $177.83
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$107.15 / $177.83 / $194.98
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$79.43 / $97.72 / $138.04