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Wisconsin rates for HCPCS 78811

Pet Imaging Limited Area Chest Head/Neck

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$100.00 / $100.00 / $149.04
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$184.73 / $209.92 / $331.15
Quartz
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$690.00 / $690.00 / $690.00