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Oklahoma 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
$101.40 / $125.00 / $161.50
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$100.00 / $118.75 / $200.00
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$89.45 / $101.92 / $168.38
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$734.80 / $945.52 / $945.52
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$76.04 / $97.77 / $215.63
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$76.04 / $90.98 / $130.36