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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
Facility
Modifier
26
Low / Median / High Price
$559.48 / $559.48 / $559.48
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$100.00 / $125.00 / $265.00
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$72.14 / $103.06 / $168.02
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$107.35 / $177.24 / $187.21
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$68.11 / $105.57 / $155.68