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Utah 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
$200.00 / $200.00 / $200.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$200.00 / $200.00 / $244.53
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$121.41 / $145.25 / $219.37
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$2,694.22 / $2,694.22 / $2,694.22
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$148.22 / $227.00 / $241.30
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$92.34 / $119.44 / $180.60