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See a sample rate comparisonCPT 78579 Fee Schedule
Medicare rates as of October 2026
CPT 78579 is classified under Radiology Procedures, in the Nuclear Medicine Procedures subgroup.
Lung Scan For Air Flow, A Lung Perfusion Scan Uses An Inhaled Radioactive Substance To View How Air Is Distributed In The Lungs.
| Key Fact | Detail |
|---|---|
| Service Type | Radiology Procedures Nuclear Medicine Procedures |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | 26 - Professional component TC - Technical component |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $166.34 national non-facility rate (2026) · View Medicare rates for 78579 |
| Medicaid Fee Schedule | $136.855 median of the 8 states in the free preview · View Medicaid rates for 78579 |
National average reimbursement for CPT 78579 by major payers:
$210.77
BCBS / Anthem
$218.78
UnitedHealthcare
$206.12
Aetna
$275.63
Cigna
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CPT 78579
5 of 25 sample ratesHigher to lower in this preview
Christopher Mcmillan
Radiology Associates Of North Texas, PA
$430.39Published rateLu Pan
Northern Arizona Healthcare Corporation
$266.98Published rateHassan Shafeeq
Northern Arizona Healthcare Corporation
$164.41Published rateJacquelyn Povilaitis
Northern Arizona Healthcare Corporation
$40.81Published rateThomas De Moulin
Northern Arizona Healthcare Corporation
$20.86Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 78579 vs. Other Nuclear Medicine Procedures Codes
The table lists codes related to 78579. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 78579-CPT | Moderate | Lung Scan For Air Flow, A Lung Perfusion Scan Uses An Inhaled Radioactive Substance To View How Air Is Distributed In The Lungs. |
| 78580-CPT | Moderate | Lung Scan For Blood Air Flow, A Lung Perfusion Scan Uses A Radioactive Substance To Highlight Blood Flow On Images. A Lung Ventilation Scan May Be Done In The Same Session. It Uses Contrast Material To Produce A Picture Of How Air Is Distributed In The Lungs. |
| 78582-CPT | Moderate | Pulmonary Ventilation (Eg Aerosol Or Gas) And Perfusion Imaging (Reinstated Code Former Description Was: Nuclear Scan Of Lung;Gaseous With Ventilation Rebreathing And Washout) |
| 78597-CPT | Moderate | Scan Of Lung Function, A Radioactive Substance Is Given By Mouth Or Iv. This Highlights Air And Blood Flow On A Scan So That Lung Function May Be Viewed More Easily. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 78579. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 78579 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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