go back

Montana 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 $174 · 10th–90th $174–$2190%20%40%90th$174Professionalmedian $209 · 10th–90th $112–$5370%5%10%10th90th$209$50.0$100.0$200.0$500.0$1.0K

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
Professional
Modifier
26
Typical Low / Median / Typical High
$112.20 / $208.93 / $537.03
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$173.78 / $173.78 / $218.78
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$79.43 / $173.78 / $331.13
Providence
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$173.78 / $173.78 / $218.78
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$117.49 / $162.18 / $239.88
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$102.33 / $109.65 / $213.80