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Ohio rates for RC 0404

Other Imaging Services - Positron Emission Tomography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,731.82 / $2,731.82 / $2,924.00
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,756.30 / $2,136.02 / $2,695.42
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,817.00 / $6,218.00 / $6,686.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,971.00 / $4,330.00 / $6,813.00
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,124.00 / $4,635.00 / $6,813.00