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Massachusetts 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
$111.16 / $125.00 / $328.11
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$113.94 / $125.00 / $488.09
AllWays Health Partners
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$263.80 / $355.19 / $822.88
AllWays Health Partners
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$83.64 / $142.79 / $1,192.32
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$128.41 / $220.99 / $308.44
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$122.58 / $169.19 / $348.23
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$138.04 / $245.95 / $343.80
Mass General Brigham
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$822.88 / $822.88 / $1,034.88
Mass General Brigham
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$103.04 / $163.90 / $1,192.32
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$101.76 / $152.27 / $295.27