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Louisiana 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 $251 · 10th–90th $132–$2690%50%10th90th$251Professionalmedian $170 · 10th–90th $112–$3550%10%10th90th$170$50.0$100.0$200.0$500.0

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
$131.83 / $251.19 / $269.15
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$114.82 / $199.53 / $354.81
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$109.65 / $125.89 / $134.90
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$131.83 / $169.82 / $190.55
Christus
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$39.81 / $112.20 / $112.20
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$74.13 / $125.89 / $251.19
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$95.50 / $117.49 / $177.83