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New Hampshire 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
$49.31 / $49.31 / $74.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.93 / $293.82 / $864.60
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$39.07 / $43.47 / $124.23
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$238.86 / $250.34 / $740.36
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$61.20 / $61.20 / $61.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$287.56 / $422.19 / $612.16
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$47.55 / $69.81 / $101.22
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$240.01 / $352.38 / $510.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$384.55 / $721.91 / $1,123.56
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$62.16 / $111.88 / $146.94
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$322.39 / $610.03 / $976.89
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$334.83 / $585.04 / $1,205.61
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$55.25 / $96.53 / $179.30
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$278.91 / $487.26 / $905.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$403.15 / $428.30 / $1,009.10
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$53.04 / $65.17 / $98.94
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$302.61 / $375.84 / $1,992.48
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$273.43 / $319.37 / $482.33
Well Sense
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$40.04 / $47.11 / $67.14
Well Sense
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$231.41 / $272.25 / $401.58