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Wisconsin 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 $234 · 10th–90th $100–$5500%20%10th90th$234Professionalmedian $214 · 10th–90th $100–$9330%10%10th90th$214$20.0$100.0$500.0$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
$100.00 / $169.82 / $234.42
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$100.00 / $199.53 / $954.99
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$109.65 / $169.82 / $645.65
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$295.12 / $346.74 / $549.54
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$169.82 / $398.11 / $457.09
DeanCare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$223.87 / $263.03 / $316.23
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$1,479.11 / $1,479.11 / $1,479.11
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$123.03 / $239.88 / $1,202.26
Network Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$162.18 / $281.84 / $426.58
Quartz
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$263.03 / $1,023.29 / $1,023.29
Quartz
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$186.21 / $588.84 / $1,202.26
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$295.12 / $295.12 / $295.12
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$229.09 / $245.47 / $8,128.31
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$87.10 / $275.42 / $870.96