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Indiana rates for HCPCS 78580

Pulmonary perfusion imaging (eg, particulate)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$32.10 / $32.10 / $54.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.20 / $198.09 / $210.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.59 / $169.39 / $240.53
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.02 / $191.15 / $248.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.31 / $245.23 / $456.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.75 / $242.16 / $415.36