go back

New Hampshire 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 $407 · 10th–90th $132–$4070%50%10th$407Professionalmedian $126 · 10th–90th $100–$3090%20%10th90th$126$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$407.38 / $407.38 / $407.38
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$100.00 / $125.89 / $288.40
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$97.72 / $208.93 / $302.00
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$125.89 / $204.17 / $295.12
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$114.82 / $177.83 / $309.03
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$107.15 / $131.83 / $269.15
Well Sense
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$83.18 / $117.49 / $154.88