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New Mexico 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
$147.76 / $147.76 / $174.86
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$118.21 / $135.28 / $524.91
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$102.50 / $134.96 / $177.49
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$102.50 / $149.41 / $177.49
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$79.04 / $82.55 / $185.09