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Louisiana rates for HCPCS 78580

Pulmonary perfusion imaging (eg, particulate)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$39.81 / $44.67 / $58.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $234.42 / $338.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $269.15 / $302.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $234.42 / $467.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $223.87 / $338.84