go back

Vermont 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
Professional
Modifier
26
Low / Median / High Price
$89.13 / $125.89 / $331.13
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$112.20 / $112.20 / $112.20
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$120.23 / $128.82 / $363.08
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$87.10 / $134.90 / $213.80