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Maine 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 $126 · 10th–90th $126–$1260%50%100%$126Professionalmedian $138 · 10th–90th $112–$2820%20%10th90th$138$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$125.89 / $125.89 / $125.89
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$100.00 / $125.89 / $281.84
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$109.65 / $158.49 / $234.42
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$114.82 / $151.36 / $251.19
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$134.90 / $158.49 / $309.03
Martin's Point
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$112.20 / $147.91 / $288.40
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$134.90 / $169.82 / $239.88