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South Dakota 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–$290%50%$29Professionalmedian $71 · 10th–90th $28–$1000%10%20%10th90th$71$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
$28.84 / $28.84 / $28.84
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$28.18 / $72.44 / $100.00
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$63.10 / $67.61 / $85.11
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$26.92 / $40.74 / $87.10
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$72.44 / $72.44 / $72.44
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$38.90 / $56.23 / $56.23
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$33.88 / $52.48 / $79.43
Wellmark
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$54.95 / $64.57 / $64.57