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Texas 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
$87.10 / $125.89 / $154.88
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$87.10 / $125.89 / $302.00
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$67.61 / $114.82 / $144.54
Christus
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$81.28 / $81.28 / $93.33
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$72.44 / $109.65 / $177.83
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$549.54 / $549.54 / $549.54
Lucent Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$549.54 / $691.83 / $691.83
Moda Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$125.89 / $125.89 / $154.88
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$91.20 / $154.88 / $331.13
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$72.44 / $97.72 / $169.82
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$66.07 / $85.11 / $147.91
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$85.11 / $85.11 / $87.10