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Connecticut 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
$135.00 / $408.85 / $530.52
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$93.63 / $135.00 / $505.66
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$113.87 / $204.11 / $266.95
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$123.74 / $161.63 / $296.22
ConnectiCare
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$126.23 / $128.11 / $129.62
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$104.92 / $173.43 / $245.49