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Wisconsin rates for HCPCS 78813

Positron emission tomography (PET) imaging; whole body

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$100.00 / $114.82 / $190.55
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$91.20 / $125.89 / $331.13
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$89.13 / $138.04 / $524.81
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$239.88 / $281.84 / $446.68
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$134.90 / $316.23 / $371.54
DeanCare
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$181.97 / $208.93 / $251.19
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$97.72 / $194.98 / $1,479.11
Quartz
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$213.80 / $954.99 / $954.99
Quartz
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$131.83 / $467.74 / $1,513.56
Security Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$186.21 / $204.17 / $549.54
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$97.72 / $186.21 / $407.38