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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

Facilitymedian $132 · 10th–90th $100–$2000%20%10th90th$132Professionalmedian $170 · 10th–90th $100–$3800%5%10%10th90th$170$2.0$10.0$50.0$200.0$1.0K

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
$100.00 / $131.83 / $199.53
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$100.00 / $190.55 / $389.05
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$85.11 / $138.04 / $190.55
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$100.00 / $138.04 / $213.80
Aultcare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$131.83 / $131.83 / $218.78
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$109.65 / $158.49 / $281.84
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$107.15 / $173.78 / $295.12
SummaCare
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$1,737.80 / $1,737.80 / $1,737.80
SummaCare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$117.49 / $138.04 / $213.80
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$83.18 / $123.03 / $229.09