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Texas rates for RC 0404

Other Imaging Services - Positron Emission Tomography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,323.00 / $4,309.00 / $5,242.00
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,447.62 / $2,264.46 / $3,153.68
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.00 / $18.00 / $45.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.00 / $3,774.00 / $6,590.00
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,360.45 / $1,816.96 / $2,458.31
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,700.00 / $2,908.00 / $5,892.00