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Montana rates for HCPCS 78580

Pulmonary perfusion imaging (eg, particulate)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.63 / $216.00 / $1,402.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.63 / $53.63 / $341.77
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$53.63 / $53.63 / $66.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.58 / $341.77 / $665.13
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$53.63 / $53.63 / $66.30
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.80 / $307.06 / $416.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.44 / $212.42 / $429.09