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New Hampshire 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
$125.89 / $218.78 / $467.74
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$109.65 / $125.89 / $363.08
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$89.13 / $169.82 / $363.08
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$112.20 / $234.42 / $338.84
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$144.54 / $257.04 / $338.84
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$123.03 / $213.80 / $346.74
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$112.20 / $151.36 / $302.00