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Utah rates for HCPCS 78580

Pulmonary Perfusion Imaging Particulate

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$40.25 / $40.25 / $40.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.58 / $228.58 / $322.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.47 / $246.03 / $427.99
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.60 / $159.19 / $236.97
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$686.36 / $686.36 / $686.36
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$322.22 / $462.66 / $491.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.79 / $239.68 / $406.21