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Florida rates for HCPCS 78456

Acute Venous Thrombosis Imaging Peptide

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$198.75 / $198.75 / $228.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.75 / $211.05 / $290.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$266.72 / $1,355.74 / $1,903.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.38 / $337.49 / $555.35
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$155.63 / $161.87 / $326.42
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.74 / $205.65 / $429.50
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.44 / $246.23 / $425.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,862.43 / $2,862.43 / $2,862.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.19 / $266.35 / $535.69
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.51 / $217.51 / $217.51