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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

Facilitymedian $87 · 10th–90th $71–$1290%50%10th90th$87Professionalmedian $155 · 10th–90th $87–$2630%20%10th90th$155$20.0$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$87.10 / $87.10 / $87.10
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$89.13 / $154.88 / $263.03
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$21.38 / $100.00 / $141.25
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$74.13 / $123.03 / $407.38
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$61.66 / $87.10 / $154.88