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West Virginia 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
$112.34 / $123.57 / $138.68
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$90.00 / $125.00 / $265.00
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$128.81 / $128.81 / $128.81
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$119.62 / $149.36 / $690.00
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$243.18 / $295.12 / $303.91
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$74.06 / $112.19 / $208.11