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Ohio 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
$100.00 / $138.04 / $346.74
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$100.00 / $125.89 / $316.23
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$102.33 / $102.33 / $102.33
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$91.20 / $123.03 / $194.98
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$95.50 / $134.90 / $251.19
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$100.00 / $147.91 / $251.19
SummaCare
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$1,737.80 / $1,737.80 / $1,737.80
SummaCare
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$102.33 / $117.49 / $190.55
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$75.86 / $112.20 / $208.93