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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)

Facilitymedian $102 · 10th–90th $102–$1070%50%90th$102Professionalmedian $126 · 10th–90th $100–$2950%10%20%10th90th$126$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$102.33 / $102.33 / $107.15
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$100.00 / $125.89 / $295.12
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$100.00 / $100.00 / $131.83
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$158.49 / $158.49 / $158.49
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$75.86 / $144.54 / $223.87
Health Alliance Plan
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$102.33 / $102.33 / $257.04
Health Alliance Plan
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$89.13 / $117.49 / $257.04
Priority Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$85.11 / $169.82 / $234.42
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$95.50 / $114.82 / $177.83