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Pennsylvania 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 $209 · 10th–90th $126$4170%20%10th90th$209Professionalmedian $174 · 10th–90th $112$4370%10%10th90th$174$20.0$50.0$100.0$200.0$500.0$1.0K$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 / $229.09 / $416.87
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$112.20 / $177.83 / $436.52
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$109.65 / $173.78 / $213.80
AmeriHealth
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$141.25 / $141.25 / $245.47
Capital Blue Cross
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$112.20 / $190.55 / $288.40
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$81.28 / $144.54 / $218.78
Emblem Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$177.83 / $177.83 / $177.83
Geisinger
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$107.15 / $151.36 / $234.42
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$125.89 / $134.90 / $186.21
Independence Blue Cross
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$141.25 / $141.25 / $3,388.44
Martin's Point
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$125.89 / $162.18 / $281.84
Martin's Point
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$104.71 / $138.04 / $263.03
UPMC Health Plan
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$112.20 / $128.82 / $128.82
UPMC Health Plan
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$109.65 / $114.82 / $128.82
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$100.00 / $134.90 / $223.87