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Minnesota 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
$103.89 / $103.89 / $103.89
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$90.00 / $103.89 / $375.00
BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$84.65 / $84.65 / $84.65
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$149.18 / $204.94 / $509.99
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$247.63 / $351.16 / $844.77
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$151.72 / $190.78 / $291.60
Health Partners
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$194.98 / $321.05 / $665.18
Health Partners
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$150.22 / $150.22 / $272.47
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$119.35 / $195.30 / $381.90
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$108.63 / $185.92 / $331.19