go back

Minnesota rates for HCPCS 78580

Pulmonary perfusion imaging (eg, particulate)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$35.18 / $35.18 / $35.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.86 / $232.64 / $388.53
BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$28.80 / $28.80 / $28.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$350.22 / $531.25 / $762.52
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$84.23 / $119.44 / $287.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.64 / $417.01 / $637.38
Health Partners
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$66.31 / $109.20 / $226.25
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.35 / $328.35 / $595.55
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$259.64 / $444.21 / $871.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.33 / $440.05 / $744.91