go back

North Dakota 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
$125.00 / $125.00 / $192.83
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$108.58 / $265.00 / $475.95
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$216.82 / $260.69 / $285.81
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$120.08 / $209.98 / $276.91
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$124.35 / $225.46 / $1,192.32
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$132.08 / $217.65 / $296.23