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Pennsylvania rates for HCPCS 78813

Positron emission tomography (PET) imaging; whole body

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$125.89 / $239.88 / $489.78
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$91.20 / $125.89 / $331.13
Capital Blue Cross
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$91.20 / $93.33 / $177.83
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$64.57 / $112.20 / $177.83
Emblem Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$120.23 / $120.23 / $144.54
Geisinger
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$93.33 / $123.03 / $190.55
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$102.33 / $138.04 / $630.96
Martin's Point
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$125.89 / $239.88 / $467.74
Martin's Point
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$97.72 / $125.89 / $331.13
UPMC Health Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$89.13 / $104.71 / $104.71
UPMC Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$87.10 / $93.33 / $104.71
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$79.43 / $107.15 / $177.83