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Arkansas rates for HCPCS 78814

Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; limited area (eg, chest, head/neck)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$136.57 / $169.18 / $180.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$118.75 / $180.00 / $291.50
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$116.91 / $134.11 / $171.93
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$100.45 / $151.94 / $170.31
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$87.90 / $118.34 / $195.06