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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
$275.58 / $507.93 / $843.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.85 / $275.58 / $483.34
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$753.48 / $1,728.29 / $3,891.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.71 / $134.13 / $618.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$437.58 / $770.80 / $2,249.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.26 / $381.94 / $667.30
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$264.57 / $404.40 / $1,339.89
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
$328.58 / $338.95 / $365.31
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $62.71 / $382.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.45 / $414.58 / $590.82