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Virginia rates for HCPCS 78816

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

Facilitymedian $195 · 10th–90th $126$7410%20%10th90th$195Professionalmedian $151 · 10th–90th $112$3720%20%10th90th$151$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
$125.89 / $194.98 / $741.31
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$114.82 / $151.36 / $389.05
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$107.15 / $144.54 / $223.87
CareFirst
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$109.65 / $138.04 / $186.21
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$89.13 / $158.49 / $218.78
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$112.20 / $144.54 / $162.18
Medcost
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$134.90 / $177.83 / $223.87
Sentara
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$109.65 / $162.18 / $269.15
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$97.72 / $154.88 / $229.09