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Pennsylvania rates for HCPCS 78580

Pulmonary perfusion imaging (eg, particulate)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$33.85 / $42.95 / $106.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.08 / $219.92 / $388.53
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.95 / $283.37 / $429.97
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$39.42 / $39.42 / $39.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.35 / $249.87 / $421.52
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.13 / $299.13 / $333.95
Martin's Point
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$31.12 / $49.27 / $110.69
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.03 / $241.84 / $425.20
Priority Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$39.42 / $39.42 / $39.42
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.01 / $255.20 / $422.70
UPMC Health Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$34.21 / $34.21 / $40.00
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.50 / $210.91 / $229.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.36 / $254.68 / $409.59