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Missouri 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 $89 · 10th–90th $41–$1950%20%10th90th$89Professionalmedian $56 · 10th–90th $27–$1550%10%10th90th$56$20.0$50.0$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$40.74 / $89.13 / $194.98
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$25.70 / $100.00 / $199.53
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$30.20 / $35.48 / $54.95
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$31.62 / $34.67 / $48.98
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$26.92 / $41.69 / $58.88
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$69.18 / $128.82 / $128.82
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$26.92 / $36.31 / $181.97
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$26.92 / $35.48 / $58.88