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Washington, DC rates for HCPCS 78456

Acute Venous Thrombosis Imaging Peptide

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$282.08 / $282.08 / $282.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.33 / $282.08 / $282.08
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.48 / $337.33 / $876.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,708.36 / $2,710.46 / $3,592.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.49 / $346.16 / $1,459.88
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$304.58 / $688.39 / $688.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.45 / $346.66 / $1,029.77