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Ohio 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
$100.00 / $143.00 / $391.57
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$100.00 / $165.70 / $391.57
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$85.44 / $149.52 / $186.90
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$92.86 / $124.16 / $196.97
Aultcare
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$126.02 / $126.02 / $126.02
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$112.05 / $153.57 / $268.06
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$108.32 / $172.00 / $293.72
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$91.43 / $124.09 / $244.72