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West Virginia 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
$87.36 / $87.36 / $87.36
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$87.36 / $125.00 / $291.50
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$99.80 / $99.80 / $99.80
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$101.09 / $114.04 / $403.82
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$61.70 / $95.62 / $200.69