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Arkansas 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
$152.04 / $180.00 / $198.59
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$118.75 / $182.44 / $265.00
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$179.00 / $192.43 / $207.97
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$130.38 / $149.55 / $191.73
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$110.72 / $166.69 / $188.88
Qualchoice
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$205.85 / $221.29 / $239.17
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$105.26 / $130.94 / $218.41