go back

Missouri 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 $151 · 10th–90th $100$3090%10%20%10th90th$151Professionalmedian $126 · 10th–90th $93$2510%20%10th90th$126$100.0$200.0$500.0$1.0K

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
$100.00 / $151.36 / $234.42
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$93.33 / $125.89 / $257.04
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$75.86 / $75.86 / $75.86
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$104.71 / $128.82 / $199.53
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$107.15 / $120.23 / $169.82
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$91.20 / $147.91 / $204.17
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$741.31 / $954.99 / $954.99
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$93.33 / $128.82 / $1,202.26
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$93.33 / $125.89 / $208.93