go back

Maine rates for HCPCS 78813

Positron emission tomography (PET) imaging; whole body

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$100.00 / $125.89 / $331.13
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$87.10 / $120.23 / $186.21
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$70.79 / $120.23 / $204.17
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$109.65 / $128.82 / $251.19
Martin's Point
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$102.33 / $125.89 / $331.13
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$109.65 / $138.04 / $194.98