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Iowa rates for HCPCS 78456

Acute venous thrombosis imaging, peptide

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$327.60 / $327.60 / $327.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.16 / $251.16 / $2,105.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,173.42 / $1,208.61 / $1,243.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$599.90 / $663.22 / $829.03
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.21 / $379.13 / $910.49
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$424.46 / $725.40 / $3,352.67
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.67 / $400.67 / $954.38
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$532.41 / $1,069.05 / $1,563.84
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$400.67 / $599.90 / $741.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.67 / $334.27 / $585.51
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.23 / $481.30 / $566.20