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Michigan 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
$89.13 / $91.20 / $91.20
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$89.13 / $125.89 / $331.13
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$128.82 / $128.82 / $131.83
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$141.25 / $141.25 / $141.25
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$66.07 / $107.15 / $208.93
Health Alliance Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$81.28 / $204.17 / $223.87
Health Alliance Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$77.62 / $100.00 / $204.17
Priority Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$66.07 / $107.15 / $204.17
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$83.18 / $97.72 / $144.54