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Arizona rates for HCPCS 78580

Pulmonary perfusion imaging (eg, particulate)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$48.54 / $96.09 / $140.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.63 / $237.41 / $495.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.84 / $247.78 / $1,200.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.17 / $294.01 / $450.48
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$81.73 / $155.94 / $155.94
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.75 / $212.42 / $1,447.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.75 / $207.94 / $448.05