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Massachusetts 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
$99.31 / $125.00 / $298.10
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$102.75 / $125.00 / $488.09
AllWays Health Partners
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$237.87 / $318.74 / $780.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$75.42 / $128.13 / $1,192.32
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$114.66 / $197.33 / $275.41
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$110.53 / $152.56 / $314.01
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$123.29 / $219.67 / $307.07
Mass General Brigham
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$780.00 / $780.00 / $924.96
Mass General Brigham
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$93.26 / $146.34 / $1,192.32
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$93.26 / $135.10 / $275.52