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New Hampshire 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 $135 · 10th–90th $100–$1580%20%10th90th$135$100.0

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
$154.88 / $154.88 / $154.88
Well Sense
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$83.18 / $117.49 / $158.49