go back

Mississippi 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
$104.71 / $186.21 / $199.53
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$93.33 / $125.89 / $223.87
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$93.33 / $93.33 / $234.42
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$102.33 / $177.83 / $239.88
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$87.10 / $109.65 / $190.55