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Michigan rates for HCPCS 78816

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

Facilitymedian $115 · 10th–90th $115–$1450%50%90th$115Professionalmedian $229 · 10th–90th $110–$4070%10%10th90th$229$50.0$100.0$200.0$500.0$1.0K$2.0K

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
$114.82 / $114.82 / $144.54
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$112.20 / $239.88 / $407.38
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$112.20 / $144.54 / $234.42
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$177.83 / $177.83 / $177.83
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$85.11 / $162.18 / $251.19
Health Alliance Plan
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$114.82 / $117.49 / $288.40
Health Alliance Plan
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$100.00 / $147.91 / $371.54
Priority Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$95.50 / $190.55 / $263.03
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$102.33 / $128.82 / $199.53