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Arizona rates for HCPCS 78816

Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; whole body

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$159.18 / $220.33 / $459.52
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$93.63 / $232.76 / $533.25
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$151.96 / $151.96 / $151.96
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$84.97 / $113.29 / $548.74
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$79.15 / $152.12 / $244.62
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$827.12 / $1,063.59 / $1,063.59
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$102.93 / $114.83 / $1,192.32
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$101.49 / $104.30 / $230.08