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Wisconsin rates for HCPCS 78580

Pulmonary Perfusion Imaging Particulate

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$52.00 / $52.00 / $72.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.63 / $248.46 / $443.75
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.65 / $331.17 / $1,196.28
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$90.11 / $102.40 / $161.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$305.68 / $759.80 / $863.41
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.68 / $457.27 / $1,447.02
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.00 / $180.41 / $436.16
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$415.35 / $595.26 / $918.75
Quartz
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$155.94 / $155.94 / $155.94
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$320.01 / $1,159.34 / $1,447.02
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$570.80 / $1,353.88 / $1,353.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.04 / $431.53 / $1,016.17