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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
$125.00 / $125.00 / $291.50
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$111.50 / $111.50 / $111.50
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$119.68 / $130.00 / $367.07
MVP Health Care
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$119.68 / $128.59 / $367.07
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$88.00 / $130.94 / $200.47