go back

Vermont 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
Professional
Modifier
26
Low / Median / High Price
$125.00 / $125.00 / $291.50
BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$648.04 / $648.04 / $648.04
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$137.16 / $150.06 / $427.52
MVP Health Care
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$137.16 / $150.06 / $427.52
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$106.35 / $149.87 / $233.49