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Delaware 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
$113.68 / $147.57 / $321.25
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$90.00 / $125.00 / $170.00
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$74.81 / $121.47 / $191.68
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$142.11 / $142.11 / $142.11
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$93.48 / $145.05 / $265.75