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New Hampshire 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 $214 · 10th–90th $126–$4470%20%10th90th$214Professionalmedian $141 · 10th–90th $110–$3310%20%10th90th$141$50.0$100.0$200.0$500.0

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
$125.89 / $213.80 / $446.68
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$109.65 / $125.89 / $281.84
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$87.10 / $363.08 / $363.08
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$109.65 / $234.42 / $338.84
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$141.25 / $229.09 / $331.13
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$125.89 / $199.53 / $338.84
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$120.23 / $147.91 / $302.00
Well Sense
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$93.33 / $131.83 / $173.78