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Maine rates for HCPCS 78812

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

Professionalmedian $126 · 10th–90th $100$2450%20%10th90th$126$100.0$200.0

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
Professional
Modifier
26
Typical Low / Median / Typical High
$100.00 / $125.89 / $263.03
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$87.10 / $125.89 / $181.97
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$91.20 / $120.23 / $199.53
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$107.15 / $125.89 / $245.47
Martin's Point
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$89.13 / $125.89 / $288.40
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$107.15 / $131.83 / $190.55