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Rhode Island 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
$642.74 / $642.74 / $642.74
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$100.00 / $103.49 / $125.00
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$83.62 / $119.46 / $201.65
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$124.44 / $213.51 / $215.06
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$78.25 / $99.08 / $178.85