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Nebraska 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 $316 · 10th–90th $316–$9550%20%40%90th$316Professionalmedian $126 · 10th–90th $98–$5890%10%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
$229.09 / $316.23 / $1,000.00
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$97.72 / $125.89 / $588.84
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$234.42 / $234.42 / $234.42
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$173.78 / $186.21 / $194.98
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$562.34 / $562.34 / $562.34
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$194.98 / $234.42 / $295.12
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$954.99 / $954.99 / $954.99
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$125.89 / $190.55 / $1,202.26
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$194.98 / $223.87 / $251.19
Midlands
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$562.34 / $562.34 / $562.34
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$229.09 / $229.09 / $251.19
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$125.89 / $199.53 / $269.15