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South Dakota 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

Facilitymedian $89 · 10th–90th $89–$890%50%$89Professionalmedian $204 · 10th–90th $85–$2400%20%10th90th$204$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$89.13 / $89.13 / $89.13
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$85.11 / $213.80 / $239.88
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$186.21 / $204.17 / $257.04
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$81.28 / $120.23 / $257.04
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$213.80 / $213.80 / $213.80
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$117.49 / $165.96 / $165.96
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$102.33 / $158.49 / $239.88
Wellmark
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$165.96 / $194.98 / $194.98