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South Dakota 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 $102 · 10th–90th $102–$1020%50%$102Professionalmedian $151 · 10th–90th $102–$2880%10%20%10th90th$151$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$102.33 / $102.33 / $102.33
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$100.00 / $112.20 / $263.03
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$213.80 / $234.42 / $295.12
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$93.33 / $141.25 / $302.00
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$245.47 / $245.47 / $245.47
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$131.83 / $186.21 / $194.98
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$93.33 / $165.96 / $275.42
Wellmark
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$194.98 / $229.09 / $229.09