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New Hampshire rates for HCPCS 78812

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

Facilitymedian $355 · 10th–90th $117–$3550%50%10th$355Professionalmedian $126 · 10th–90th $95–$2690%20%10th90th$126$100.0$200.0$500.0

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
Facility
Modifier
26
Typical Low / Median / Typical High
$354.81 / $354.81 / $354.81
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$100.00 / $125.89 / $338.84
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$87.10 / $181.97 / $263.03
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$112.20 / $181.97 / $263.03
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$100.00 / $154.88 / $269.15
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$95.50 / $114.82 / $234.42
Well Sense
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$72.44 / $102.33 / $138.04