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Utah 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 $4,365 · 10th–90th $200–$4,3650%50%10th$4,365Professionalmedian $200 · 10th–90th $107–$3720%10%20%10th90th$200$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
$199.53 / $4,365.16 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$107.15 / $199.53 / $371.54
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$134.90 / $165.96 / $323.59
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$2,691.53 / $2,691.53 / $2,691.53
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$165.96 / $257.04 / $338.84
Select Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$120.23 / $177.83 / $295.12
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$102.33 / $131.83 / $199.53