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Kentucky rates for HCPCS 78816

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

Facilitymedian $135 · 10th–90th $93–$2190%10%20%10th90th$135Professionalmedian $126 · 10th–90th $100–$3020%10%20%10th90th$126$20.0$50.0$100.0$200.0$500.0

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 / $134.90 / $218.78
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$100.00 / $125.89 / $309.03
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$107.15 / $114.82 / $134.90
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$100.00 / $120.23 / $186.21
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$28.18 / $128.82 / $186.21
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$125.89 / $229.09 / $691.83
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$112.20 / $125.89 / $177.83