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New York 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 $145 · 10th–90th $126–$3020%20%10th90th$145Professionalmedian $174 · 10th–90th $107–$3800%10%10th90th$174$20.0$100.0$500.0$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
$125.89 / $144.54 / $302.00
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$112.20 / $194.98 / $467.74
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$102.33 / $134.90 / $281.84
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$27.54 / $128.82 / $186.21
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$85.11 / $181.97 / $602.56
Emblem Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$109.65 / $151.36 / $234.42
Excellus BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$97.72 / $120.23 / $213.80
Fidelis
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$87.10 / $117.49 / $169.82
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$134.90 / $213.80 / $239.88
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$89.13 / $131.83 / $323.59
Univera
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$93.33 / $120.23 / $363.08
Univera
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$95.50 / $128.82 / $245.47