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Delaware rates for HCPCS 78201

Liver Imaging Static Only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$22.39 / $26.28 / $26.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.36 / $157.19 / $177.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.82 / $162.71 / $233.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.01 / $167.12 / $434.65