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Pennsylvania 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 $240 · 10th–90th $126–$4680%10%20%10th90th$240Professionalmedian $126 · 10th–90th $95–$2950%20%10th90th$126$100.0$200.0$500.0$1.0K

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
$125.89 / $269.15 / $467.74
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$95.50 / $125.89 / $302.00
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$158.49 / $158.49 / $158.49
Capital Blue Cross
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$102.33 / $131.83 / $194.98
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$72.44 / $128.82 / $199.53
Emblem Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$158.49 / $158.49 / $158.49
Geisinger
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$95.50 / $138.04 / $208.93
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$114.82 / $154.88 / $194.98
Martin's Point
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$125.89 / $181.97 / $416.87
Martin's Point
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$100.00 / $125.89 / $263.03
UPMC Health Plan
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$100.00 / $100.00 / $117.49
UPMC Health Plan
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$100.00 / $104.71 / $117.49
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$91.20 / $123.03 / $199.53