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Wyoming 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
$96.86 / $96.86 / $98.59
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$96.86 / $96.86 / $103.67
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$259.00 / $259.00 / $425.00
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$150.41 / $150.41 / $292.08
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$94.44 / $186.62 / $344.30