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Hawaii 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

Facilitymedian $129 · 10th–90th $112–$1510%20%40%10th90th$129Professionalmedian $155 · 10th–90th $115–$3720%10%10th90th$155$100.0$200.0$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$112.20 / $128.82 / $151.36
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$109.65 / $154.88 / $851.14
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$138.04 / $151.36 / $251.19
HMSA
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$158.49 / $162.18 / $165.96
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$123.03 / $134.90 / $154.88
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$97.72 / $154.88 / $186.21
University Health Alliance
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$131.83 / $165.96 / $288.40