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Maine rates for HCPCS 78434

Absolute quantitation of myocardial blood flow (AQMBF), positron emission tomography (PET), rest and pharmacologic stress (List separately in addition to code for primary procedure)

Facilitymedian $126 · 10th–90th $126–$1260%50%100%$126Professionalmedian $89 · 10th–90th $33–$2630%10%20%10th90th$89$20.0$50.0$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
$125.89 / $125.89 / $125.89
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$28.84 / $125.89 / $263.03
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$28.84 / $40.74 / $58.88
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$29.51 / $38.90 / $64.57
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$35.48 / $41.69 / $81.28
Martin's Point
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$30.90 / $125.89 / $263.03
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$35.48 / $43.65 / $63.10