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Idaho 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
$261.83 / $261.83 / $261.83
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$90.00 / $250.00 / $266.14
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$84.57 / $94.52 / $206.68
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$160.63 / $170.38 / $194.72
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$2,871.86 / $2,871.86 / $2,871.86
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$192.41 / $204.82 / $249.33
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$86.90 / $114.38 / $204.68