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Washington 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 $224 · 10th–90th $129$9120%10%10th90th$224$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$112.20 / $190.55 / $912.01
Asuris Northwest Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$5,370.32 / $5,370.32 / $5,370.32
Kaiser Permanente
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$162.18 / $245.47 / $9,120.11
Premera BCBS
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$138.04 / $138.04 / $138.04
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$5,370.32 / $5,370.32 / $5,370.32