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Hawaii rates for HCPCS 78456

Acute venous thrombosis imaging, peptide

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.03 / $354.81 / $416.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $263.03 / $446.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $416.87 / $676.08
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $489.78 / $501.19
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $380.19 / $446.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $380.19 / $537.03
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $467.74 / $851.14