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Maryland rates for HCPCS 78812

Positron emission tomography (PET) imaging; skull base to mid-thigh

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$125.00 / $125.00 / $125.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$125.00 / $125.00 / $132.63
CareFirst
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$80.90 / $100.35 / $110.47
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$68.77 / $102.78 / $234.56
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$86.73 / $115.30 / $191.62
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$65.42 / $94.92 / $181.82
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$61.59 / $71.50 / $121.80