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New Hampshire rates for HCPCS 78580

Pulmonary perfusion imaging (eg, particulate)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$51.86 / $136.78 / $136.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.63 / $198.04 / $622.24
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.69 / $303.45 / $440.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.32 / $496.90 / $700.78
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.67 / $420.52 / $935.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.58 / $304.01 / $1,668.07
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.13 / $226.74 / $342.45