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Nebraska 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 $457 · 10th–90th $98–$5750%20%10th90th$457Professionalmedian $229 · 10th–90th $200–$2570%20%10th90th$229$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
$97.72 / $97.72 / $100.00
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$575.44 / $575.44 / $575.44
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$457.09 / $457.09 / $457.09
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$199.53 / $229.09 / $257.04
Midlands
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$575.44 / $575.44 / $575.44