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Nebraska rates for HCPCS 78811

Positron emission tomography (PET) imaging; limited area (eg, chest, head/neck)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$67.95 / $379.21 / $639.19
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$393.24 / $393.24 / $393.24
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$690.00 / $690.00 / $690.00
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$243.61 / $250.70 / $393.24