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Nebraska 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 $347 · 10th–90th $141–$1,0470%20%10th90th$347Professionalmedian $245 · 10th–90th $100–$6170%5%10%10th90th$245$50.0$100.0$200.0$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$141.25 / $346.74 / $1,047.13
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$100.00 / $245.47 / $616.60
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$117.49 / $218.78 / $263.03
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$194.98 / $208.93 / $218.78
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$630.96 / $630.96 / $630.96
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$213.80 / $263.03 / $331.13
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$1,047.13 / $1,047.13 / $1,047.13
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$141.25 / $218.78 / $1,202.26
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$218.78 / $251.19 / $281.84
Midlands
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$630.96 / $630.96 / $630.96
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$257.04 / $257.04 / $281.84
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$141.25 / $218.78 / $302.00