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Maine rates for HCPCS 78580

Pulmonary Perfusion Imaging Particulate

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$41.24 / $41.24 / $41.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.63 / $232.64 / $388.53
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.49 / $278.23 / $413.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.11 / $385.99 / $500.83
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.39 / $304.75 / $571.79
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.63 / $256.52 / $449.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$224.20 / $334.81 / $444.15