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Rhode Island 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
$602.56 / $602.56 / $602.56
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$112.20 / $125.89 / $758.58
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$85.11 / $100.00 / $234.42
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$138.04 / $234.42 / $245.47
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$104.71 / $125.89 / $181.97