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Iowa 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
$100.00 / $112.20 / $245.47
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$100.00 / $229.09 / $416.87
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$363.08 / $380.19 / $389.05
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$263.03 / $269.15 / $331.13
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$114.82 / $162.18 / $229.09
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$380.19 / $380.19 / $1,071.52
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$107.15 / $134.90 / $1,202.26
Midlands
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$229.09 / $263.03 / $616.60
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$389.05 / $389.05 / $389.05
Midlands
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$263.03 / $263.03 / $309.03
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$112.20 / $134.90 / $302.00
Wellmark
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$169.82 / $213.80 / $251.19