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Illinois rates for HCPCS 78456

Acute venous thrombosis imaging, peptide

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $512.86 / $851.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $281.84 / $537.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $1,862.09 / $3,801.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $131.83 / $616.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $562.34 / $2,041.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $380.19 / $660.69
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $407.38 / $1,445.44
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $338.84 / $363.08
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $1,096.48 / $3,467.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $398.11 / $588.84