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Wisconsin 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 $214 · 10th–90th $100–$4900%20%10th90th$214Professionalmedian $126 · 10th–90th $100–$4170%20%10th90th$126$100.0$200.0$500.0$1.0K$2.0K

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
$100.00 / $100.00 / $213.80
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$100.00 / $125.89 / $354.81
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$100.00 / $154.88 / $575.44
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$263.03 / $309.03 / $489.78
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$151.36 / $363.08 / $407.38
DeanCare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$199.53 / $234.42 / $281.84
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$109.65 / $213.80 / $1,202.26
Network Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$144.54 / $257.04 / $380.19
Quartz
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$234.42 / $933.25 / $933.25
Quartz
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$165.96 / $524.81 / $1,202.26
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$269.15 / $269.15 / $269.15
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$208.93 / $229.09 / $616.60
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$95.50 / $218.78 / $660.69