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New Jersey 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 / $514.38
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$90.00 / $125.00 / $265.00
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$85.44 / $100.89 / $136.71
AmeriHealth
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$132.88 / $296.73 / $3,068.00
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$79.73 / $139.94 / $239.82
Emblem Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$148.36 / $148.36 / $148.36
Horizon BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$94.73 / $111.45 / $161.63
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$83.08 / $136.54 / $236.38