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New Mexico 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
$149.53 / $163.28 / $186.91
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$90.00 / $265.00 / $646.00
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$128.69 / $171.24 / $225.40
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$128.69 / $189.59 / $225.40
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$100.67 / $105.12 / $237.16