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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
$111.42 / $125.00 / $250.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$100.00 / $134.80 / $265.00
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$57.77 / $68.29 / $140.84
Christus
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$81.67 / $85.36 / $92.44
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$71.92 / $106.13 / $173.81
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$207.94 / $426.88 / $426.88
Lucent Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$554.45 / $554.45 / $692.03
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$119.64 / $149.55 / $335.12
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$73.73 / $110.92 / $173.81
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$65.67 / $84.39 / $148.52
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$71.50 / $82.53 / $113.94