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Nebraska 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
$109.76 / $598.20 / $1,008.31
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$109.15 / $256.32 / $536.36
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$117.92 / $256.52 / $256.52
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$201.00 / $214.86 / $220.22
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$634.08 / $634.08 / $634.08
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$217.70 / $259.08 / $327.39
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$1,063.59 / $1,063.59 / $1,063.59
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$141.24 / $229.52 / $340.36
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$378.09 / $389.10 / $634.08
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$141.24 / $230.50 / $286.13