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Alaska rates for HCPCS 78582

Pulmonary ventilation (eg, aerosol or gas) and perfusion imaging

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$155.79 / $155.79 / $155.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$293.82 / $586.62 / $895.83
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$43.47 / $84.29 / $171.56
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$250.34 / $292.95 / $724.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$995.06 / $995.06 / $1,012.47
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$166.87 / $166.87 / $185.11
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$809.95 / $809.95 / $845.60
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.90 / $862.68 / $1,555.75
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$118.88 / $142.65 / $153.11
Moda Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$600.03 / $720.03 / $772.83
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,111.25 / $1,228.50 / $1,626.87
Premera BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$183.75 / $198.45 / $269.01
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$927.50 / $1,030.05 / $1,357.86
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.90 / $1,205.00 / $2,239.30
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$176.40 / $223.50 / $342.75
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$845.60 / $1,207.50 / $1,896.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.94 / $796.04 / $1,194.06
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$78.00 / $148.38 / $222.15
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$423.94 / $647.94 / $971.91