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South Dakota 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 $102 · 10th–90th $102–$1020%50%$102Professionalmedian $195 · 10th–90th $138–$2140%20%40%10th90th$195$100.0$200.0

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
$102.33 / $102.33 / $102.33
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$251.19 / $251.19 / $251.19
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$138.04 / $194.98 / $194.98