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Minnesota rates for HCPCS 78433

Myocardial imaging, positron emission tomography (PET), combined perfusion with metabolic evaluation study (including ventricular wall motion[s] and/or ejection fraction[s], when performed), dual radiotracer (eg, myocardial viability); with concurrently acquired computed tomography transmission scan

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$103.86 / $103.86 / $103.86
BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$86.09 / $86.09 / $86.09
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$250.99 / $355.94 / $856.27
Health Partners
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$197.63 / $325.42 / $674.23