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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

Facilitymedian $155 · 10th–90th $148–$2000%50%10th90th$155Professionalmedian $158 · 10th–90th $100–$6170%10%20%10th90th$158$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
$147.91 / $154.88 / $199.53
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$100.00 / $173.78 / $645.65
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$131.83 / $190.55 / $269.15
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$131.83 / $190.55 / $269.15
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$100.00 / $104.71 / $239.88