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North Dakota 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
$125.00 / $125.00 / $172.44
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$90.00 / $125.00 / $265.00
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$193.66 / $232.84 / $255.28
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$107.20 / $187.78 / $247.44
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$112.39 / $207.01 / $1,192.32
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$119.44 / $197.17 / $266.70