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Montana 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 $158 · 10th–90th $158–$1950%20%40%90th$158Professionalmedian $182 · 10th–90th $112–$3470%10%20%10th90th$182$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$112.20 / $194.98 / $346.74
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$158.49 / $158.49 / $194.98
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$70.79 / $158.49 / $302.00
Providence
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$158.49 / $158.49 / $194.98
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$104.71 / $144.54 / $218.78
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$93.33 / $97.72 / $190.55