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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
$223.87 / $398.11 / $549.54
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$109.65 / $223.87 / $537.03
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$85.11 / $107.15 / $186.21
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$112.20 / $112.20 / $549.54
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$79.43 / $154.88 / $251.19
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$831.76 / $1,071.52 / $1,071.52
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$102.33 / $123.03 / $1,202.26
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$102.33 / $104.71 / $229.09