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Michigan 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 $29 · 10th–90th $29–$360%50%90th$29Professionalmedian $72 · 10th–90th $29–$1550%10%20%10th90th$72$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$28.84 / $28.84 / $36.31
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$28.84 / $89.13 / $169.82
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$28.84 / $28.84 / $52.48
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$21.38 / $35.48 / $64.57
Health Alliance Plan
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$26.30 / $36.31 / $70.79
Health Alliance Plan
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$24.55 / $33.11 / $128.82
Priority Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$26.92 / $50.12 / $64.57
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$28.18 / $32.36 / $47.86