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Wisconsin 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 $100 · 10th–90th $60–$1410%20%10th90th$100Professionalmedian $98 · 10th–90th $28–$1700%10%20%10th90th$98$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
$60.26 / $100.00 / $100.00
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$28.84 / $100.00 / $190.55
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$28.18 / $43.65 / $165.96
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$75.86 / $89.13 / $141.25
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$43.65 / $102.33 / $117.49
DeanCare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$57.54 / $66.07 / $81.28
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$31.62 / $61.66 / $181.97
Network Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$42.66 / $50.12 / $75.86
Quartz
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$67.61 / $181.97 / $181.97
Quartz
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$47.86 / $154.88 / $181.97
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$75.86 / $75.86 / $75.86
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$69.18 / $83.18 / $177.83
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$31.62 / $60.26 / $128.82