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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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$127.88 / $250.00 / $270.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$90.00 / $250.00 / $265.00
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$118.70 / $118.70 / $118.70
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$143.38 / $169.07 / $224.79
Christus
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$103.14 / $103.14 / $103.14
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$74.06 / $114.35 / $243.89
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$101.03 / $131.03 / $214.33