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Minnesota 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
$106.95 / $115.23 / $195.89
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$100.00 / $258.99 / $490.20
BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$94.74 / $94.74 / $94.74
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$184.70 / $272.23 / $390.64
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$275.42 / $390.58 / $939.59
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$169.66 / $213.34 / $326.08
Health Partners
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$216.87 / $357.08 / $739.84
Health Partners
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$167.98 / $167.98 / $304.69
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$131.63 / $240.27 / $473.84
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$112.82 / $209.42 / $370.80