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New York 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 $126–$3720%20%10th90th$162Professionalmedian $158 · 10th–90th $110–$3630%10%20%10th90th$158$20.0$100.0$500.0$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
$125.89 / $169.82 / $371.54
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$112.20 / $190.55 / $380.19
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$102.33 / $134.90 / $269.15
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$28.18 / $128.82 / $186.21
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$85.11 / $186.21 / $616.60
Emblem Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$109.65 / $151.36 / $239.88
Excellus BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$100.00 / $123.03 / $213.80
Fidelis
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$97.72 / $97.72 / $173.78
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$138.04 / $218.78 / $1,778.28
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$89.13 / $131.83 / $323.59
Univera
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$93.33 / $123.03 / $363.08
Univera
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$97.72 / $128.82 / $245.47