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Michigan 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
$113.93 / $113.93 / $137.97
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$100.00 / $150.28 / $364.49
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$107.35 / $111.66 / $161.03
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$177.36 / $177.36 / $177.36
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$84.18 / $136.46 / $260.44
Health Alliance Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$97.86 / $113.93 / $137.97
Health Alliance Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$97.86 / $120.75 / $364.49
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$104.92 / $124.31 / $185.31