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New Mexico 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
$168.45 / $168.45 / $174.86
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$90.00 / $153.16 / $600.96
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$116.23 / $153.86 / $203.67
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$116.23 / $170.35 / $203.67
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$90.98 / $95.15 / $211.83