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Michigan 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
$102.75 / $102.75 / $107.88
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$90.00 / $113.40 / $291.50
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$134.43 / $134.43 / $134.43
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$159.25 / $159.25 / $159.25
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$75.86 / $124.15 / $235.73
Health Alliance Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$88.46 / $88.46 / $102.75
Health Alliance Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$88.46 / $102.75 / $265.00
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$95.15 / $116.34 / $165.87