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Idaho 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
$162.75 / $297.50 / $297.50
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$90.00 / $250.00 / $291.50
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$94.67 / $105.81 / $228.48
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$179.87 / $190.77 / $218.02
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$2,871.86 / $2,871.86 / $2,871.86
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$213.36 / $228.11 / $276.52
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$102.13 / $128.06 / $229.16