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Wyoming 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
$83.53 / $83.53 / $85.09
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$89.59 / $265.00 / $265.00
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$221.00 / $221.00 / $363.00
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$122.59 / $122.59 / $241.85
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$75.67 / $157.19 / $288.20