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Montana 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

Facilitymedian $158 · 10th–90th $158–$1950%20%40%90th$158

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
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$158.49 / $158.49 / $194.98
Providence
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$158.49 / $158.49 / $194.98