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Texas 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 $29–$1820%20%40%10th90th$126Professionalmedian $100 · 10th–90th $28–$2510%10%10th90th$100$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 / $125.89 / $154.88
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$28.84 / $125.89 / $251.19
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$22.91 / $22.91 / $22.91
Christus
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$26.92 / $26.92 / $30.90
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$23.99 / $35.48 / $60.26
Lucent Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$181.97 / $181.97 / $181.97
Lucent Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$181.97 / $229.09 / $229.09
Moda Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$28.84 / $38.02 / $269.15
Moda Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$33.11 / $66.07 / $173.78
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$23.44 / $32.36 / $58.88
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$21.88 / $28.18 / $47.86
Wellpoint
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$28.18 / $28.18 / $28.84