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Oklahoma rates for HCPCS 78580

Pulmonary perfusion imaging (eg, particulate)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$28.14 / $33.21 / $190.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.15 / $199.63 / $225.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.49 / $217.35 / $298.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.38 / $196.26 / $289.61
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$81.73 / $155.94 / $155.94
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.75 / $232.11 / $546.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.75 / $212.57 / $450.65