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Washington rates for HCPCS 78816

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

Facilitymedian $214 · 10th–90th $129–$1,0230%10%20%10th90th$214Professionalmedian $275 · 10th–90th $112–$3720%10%10th90th$275$50.0$200.0$1.0K$5.0K

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
$128.82 / $213.80 / $416.87
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$112.20 / $288.40 / $380.19
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$181.97 / $186.21 / $302.00
Asuris Northwest Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$2,884.03 / $2,884.03 / $2,884.03
Asuris Northwest Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$186.21 / $239.88 / $363.08
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$141.25 / $229.09 / $371.54
Kaiser Permanente
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$181.97 / $281.84 / $6,918.31
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$181.97 / $257.04 / $323.59
Premera BCBS
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$125.89 / $125.89 / $154.88
Premera BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$154.88 / $239.88 / $331.13
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$2,884.03 / $2,884.03 / $2,884.03
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$194.98 / $239.88 / $354.81
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$89.13 / $123.03 / $323.59
Wellpoint
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$128.82 / $151.36 / $229.09