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South Dakota 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 $115 · 10th–90th $115–$1150%50%$115Professionalmedian $170 · 10th–90th $107–$3090%20%10th90th$170$100.0$200.0$500.0$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$114.82 / $114.82 / $114.82
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$107.15 / $125.89 / $309.03
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$239.88 / $263.03 / $331.13
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$102.33 / $154.88 / $338.84
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$275.42 / $275.42 / $275.42
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$144.54 / $204.17 / $218.78
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$102.33 / $186.21 / $309.03
Wellmark
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$213.80 / $251.19 / $251.19