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Nationwide rates for HCPCS 78815

Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; skull base to mid-thigh

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$104.71 / $162.18 / $436.52
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$100.00 / $177.83 / $407.38
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$107.15 / $147.91 / $331.13
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$27.54 / $158.49 / $478.63
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$95.50 / $173.78 / $331.13
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$95.50 / $131.83 / $263.03