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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
$114.82 / $125.89 / $194.98
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$107.15 / $165.96 / $309.03
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$194.98 / $257.04 / $288.40
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$141.25 / $208.93 / $269.15
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$114.82 / $223.87 / $1,202.26
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$114.82 / $218.78 / $309.03