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Maine rates for HCPCS 78816

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

Facilitymedian $126 · 10th–90th $126–$1260%50%100%$126Professionalmedian $138 · 10th–90th $115–$2880%20%10th90th$138$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$125.89 / $125.89 / $125.89
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$100.00 / $125.89 / $288.40
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$112.20 / $158.49 / $234.42
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$114.82 / $151.36 / $257.04
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$138.04 / $162.18 / $316.23
Martin's Point
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$114.82 / $158.49 / $288.40
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$138.04 / $169.82 / $245.47