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Nebraska 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
$194.98 / $275.42 / $851.14
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$79.43 / $91.20 / $524.81
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$131.83 / $131.83 / $131.83
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$154.88 / $162.18 / $173.78
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$501.19 / $501.19 / $501.19
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$169.82 / $208.93 / $257.04
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$831.76 / $831.76 / $831.76
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$109.65 / $165.96 / $1,202.26
Midlands
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$173.78 / $194.98 / $213.80
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$501.19 / $501.19 / $501.19
Midlands
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$199.53 / $199.53 / $213.80
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$102.33 / $173.78 / $234.42