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Ohio rates for HCPCS 78816

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

Facilitymedian $135 · 10th–90th $100–$2040%10%20%10th90th$135Professionalmedian $170 · 10th–90th $100–$4070%10%10th90th$170$2.0$10.0$50.0$200.0$1.0K

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
$100.00 / $134.90 / $204.17
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$100.00 / $190.55 / $426.58
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$85.11 / $141.25 / $186.21
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$102.33 / $138.04 / $218.78
Aultcare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$134.90 / $134.90 / $199.53
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$109.65 / $162.18 / $288.40
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$112.20 / $173.78 / $295.12
SummaCare
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$1,737.80 / $1,737.80 / $1,737.80
SummaCare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$120.23 / $147.91 / $218.78
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$85.11 / $125.89 / $234.42