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Alabama rates for HCPCS 78456

Acute Venous Thrombosis Imaging Peptide

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$311.22 / $311.22 / $374.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.06 / $374.18 / $374.18
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$510.88 / $619.98 / $834.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.61 / $293.73 / $323.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$560.27 / $595.28 / $3,397.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$314.89 / $439.47 / $1,711.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,175.34 / $1,175.34 / $2,611.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.54 / $286.45 / $401.04