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South Carolina 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
$371.54 / $371.54 / $371.54
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$87.10 / $125.89 / $263.03
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$66.07 / $70.79 / $144.54
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$87.10 / $112.20 / $147.91
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$95.50 / $123.03 / $223.87
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$81.28 / $102.33 / $173.78