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Illinois rates for RC 0404

Other Imaging Services - Positron Emission Tomography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,862.00 / $1,862.00 / $3,663.00
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,640.06 / $2,128.64 / $2,636.85
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,860.00 / $2,146.00 / $3,929.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,756.00 / $2,185.00 / $4,580.00
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.00 / $2,584.00 / $6,492.00