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Wyoming rates for HCPCS 78812

Pet Imaging Skull Base To Mid-Thigh

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$85.31 / $85.31 / $86.87
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$85.31 / $85.31 / $90.92
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$228.00 / $228.00 / $375.00
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$129.55 / $129.55 / $253.64
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$82.88 / $163.07 / $301.39