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West Virginia 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
$101.24 / $111.36 / $111.36
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$90.00 / $125.00 / $219.31
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$115.69 / $115.69 / $115.69
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$108.33 / $133.38 / $690.00
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$218.42 / $218.42 / $264.99
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$67.16 / $100.43 / $189.50