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Iowa 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 $112 · 10th–90th $100–$2400%20%40%10th90th$112Professionalmedian $145 · 10th–90th $100–$3090%20%10th90th$145$20.0$50.0$100.0$200.0$500.0$1.0K

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
$100.00 / $112.20 / $239.88
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$100.00 / $144.54 / $309.03
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$389.05 / $389.05 / $389.05
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$263.03 / $263.03 / $331.13
Hally Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$114.82 / $194.98 / $524.81
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$380.19 / $1,047.13 / $1,047.13
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$107.15 / $131.83 / $1,202.26
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$223.87 / $257.04 / $616.60
Midlands
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$389.05 / $389.05 / $389.05
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$263.03 / $263.03 / $302.00
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$109.65 / $128.82 / $295.12
Wellmark
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$169.82 / $213.80 / $251.19