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Pennsylvania rates for HCPCS 78813

Positron emission tomography (PET) imaging; whole body

Facilitymedian $240 · 10th–90th $126–$4900%10%20%10th90th$240Professionalmedian $126 · 10th–90th $91–$2630%20%10th90th$126$20.0$50.0$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$125.89 / $239.88 / $489.78
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$91.20 / $125.89 / $263.03
Capital Blue Cross
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$91.20 / $93.33 / $177.83
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$64.57 / $117.49 / $177.83
Emblem Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$144.54 / $144.54 / $144.54
Geisinger
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$93.33 / $123.03 / $190.55
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$102.33 / $138.04 / $630.96
Martin's Point
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$125.89 / $229.09 / $416.87
Martin's Point
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$91.20 / $125.89 / $239.88
UPMC Health Plan
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$89.13 / $89.13 / $104.71
UPMC Health Plan
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$89.13 / $93.33 / $104.71
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$79.43 / $107.15 / $177.83