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Vermont 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
Professional
Modifier
26
Low / Median / High Price
$67.61 / $131.83 / $338.84
BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$724.44 / $724.44 / $724.44
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$141.25 / $141.25 / $478.63
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$151.36 / $165.96 / $478.63
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$117.49 / $165.96 / $295.12