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Arizona 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
$157.63 / $218.81 / $420.12
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$90.00 / $247.14 / $646.00
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$91.62 / $107.79 / $150.91
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$109.12 / $145.49 / $704.71
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$78.61 / $150.30 / $241.68
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$822.88 / $1,053.11 / $1,053.11
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$100.67 / $114.14 / $1,192.32
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$100.67 / $104.92 / $225.02