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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)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$98.05 / $539.08 / $908.66
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$87.00 / $98.05 / $600.96
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$178.34 / $190.62 / $195.38
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$562.50 / $562.50 / $562.50
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$193.13 / $229.61 / $287.01
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$945.52 / $945.52 / $945.52
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$124.70 / $202.64 / $305.76
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$340.20 / $350.11 / $562.50
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$124.70 / $197.17 / $259.80