go back

California rates for RC 0404

Other Imaging Services-Positron Emission Tomography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,090.00 / $5,019.00 / $9,560.00
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,779.92 / $4,715.00 / $6,600.52
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.00 / $2,895.00 / $4,866.00
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.20 / $93.00 / $3,827.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,601.00 / $2,921.00 / $7,727.00
HealthNet
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,234.28 / $9,363.75 / $17,255.38
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.50 / $195.00 / $315.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,601.00 / $2,663.00 / $7,300.00