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Nebraska rates for HCPCS 78580

Pulmonary perfusion imaging (eg, particulate)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$33.18 / $178.27 / $300.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.25 / $205.25 / $1,402.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$372.00 / $397.63 / $407.57
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$191.04 / $191.04 / $191.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$402.89 / $501.88 / $627.35
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$155.94 / $155.94 / $155.94
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$246.90 / $431.03 / $643.40
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$110.43 / $113.64 / $191.04
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$307.00 / $473.10 / $595.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$267.77 / $431.03 / $557.88