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South Dakota rates for HCPCS 78812

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

Facilitymedian $91 · 10th–90th $91–$910%50%$91Professionalmedian $138 · 10th–90th $91–$2570%10%10th90th$138$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$91.20 / $91.20 / $91.20
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$91.20 / $100.00 / $263.03
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$190.55 / $208.93 / $257.04
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$81.28 / $123.03 / $263.03
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$213.80 / $213.80 / $213.80
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$114.82 / $158.49 / $169.82
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$81.28 / $144.54 / $245.47
Wellmark
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$169.82 / $199.53 / $199.53