Insurance Coverage

Most insurance companies pay for clinically indicated PET and PET/CT procedures. To be clinically indicated, the procedure must be potentially beneficial in providing information supportive of a diagnosis or monitoring certain conditions.

Private Insurance
Generally, most private insurance companies cover the same indications as Medicare, although some may cover more indications and some may cover fewer indications. Private payers can have wide variations in coverage policies, coverage criteria or procedures. The referring physician and the imaging center work together to verify specific local coverage guidelines and to obtain pre-authorization prior to performing the scan.

Medicare
The Centers for Medicare and Medicaid Services (CMS) coverage policies for PET and PET/CT indications are decided at a national level and are documented in a National Coverage Determination (NCD), section 220.6 Medicare Covered Indications.

National Oncologic PET Registry (NOPR)
The National Oncologic PET Registry (NOPR) was developed in response to the Centers for Medicare and Medicaid Services (CMS) proposal to expand coverage for FDG PET to include cancers and indications not presently eligible for Medicare reimbursement. Medicare reimbursement for these cancers is available if the patient's referring physician and the imaging provider submit data to a clinical registry to assess the impact of PET on cancer patient management. The NOPR implements this registry for CMS.

Please contact our office with questions regarding insurance and coverage for PET scans.

RadNet Management, Inc.
Corporate Offices
1510 Conter Avenue
Los Angeles, CA. 90024
Phone - (310) 445-2800
Fax - (310) 445-2980

Contact Us

For addresses and maps to our imaging center locations click Here


Founded in 1980, RadNet is a national leader in providing high-quality, cost-effective diagnostic imaging services through a network of 198 owned and operated outpatient imaging centers. With operations in seven states, including California, Maryland, Delaware, New Jersey, New York, Florida, and Kansas, we believe we are the largest owner and operator of fixed diagnostic imaging centers in the United States.

RadNet offers to its patients and referring physicians the full spectrum of diagnostic imaging exams, including PET/CT, MRI, CT, Nuclear Medicine, Mammography, Ultrasound and X-ray, as well as numerous other procedures. RadNet utilizes best of breed technology to appropriately serve the medical communities in which it operates.

Additionally, RadNet currently provides diagnostic imaging services to over 750,000 lives under exclusive capitation contracts with prominent medical groups and Independent Physician Groups (IPAs).

RadNet performs over 3 million diagnostic radiology and imaging procedures annually.