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Maryland rates for HCPCS 78815

Pet Imaging Ct Attenuation Skull Base Mid-Thigh

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$125.00 / $125.00 / $125.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$100.00 / $155.19 / $335.00
CareFirst
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$121.08 / $127.39 / $139.32
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$87.08 / $130.74 / $295.77
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$110.27 / $146.84 / $246.12
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$83.72 / $121.62 / $274.67
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$78.66 / $91.06 / $154.94