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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
$719.84 / $719.84 / $719.84
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$100.00 / $125.00 / $265.00
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$93.59 / $133.69 / $222.11
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$139.27 / $235.92 / $240.86
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$87.63 / $121.62 / $200.31