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Rhode Island rates for HCPCS 78580

Pulmonary Perfusion Imaging Particulate

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$220.00 / $220.00 / $220.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.63 / $210.25 / $212.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.72 / $256.72 / $446.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$267.41 / $491.59 / $495.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.61 / $187.49 / $378.98