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North Carolina rates for HCPCS 78816

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

Facilitymedian $162 · 10th–90th $115–$3550%20%10th90th$162Professionalmedian $224 · 10th–90th $112–$3720%10%10th90th$224$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 / $162.18 / $354.81
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$112.20 / $208.93 / $371.54
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$151.36 / $213.80 / $363.08
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$295.12 / $295.12 / $295.12
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$131.83 / $208.93 / $338.84
Medcost
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$223.87 / $223.87 / $223.87
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$117.49 / $154.88 / $295.12
Wellcare
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$954.99 / $954.99 / $954.99
Wellcare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$1,230.27 / $1,230.27 / $1,230.27