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Louisiana 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
$115.88 / $250.00 / $250.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$90.00 / $250.00 / $265.00
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$130.37 / $151.88 / $204.04
Christus
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$40.00 / $92.15 / $92.15
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$66.20 / $102.17 / $220.61
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$91.29 / $118.41 / $183.35