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Indiana rates for HCPCS 78456

Acute venous thrombosis imaging, peptide

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$259.60 / $427.23 / $4,063.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$259.60 / $261.67 / $275.58
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$193.02 / $372.53 / $1,083.63
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.94 / $193.02 / $277.36
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.59 / $240.46 / $353.92
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.63 / $252.80 / $328.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$228.04 / $635.91 / $955.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.26 / $328.08 / $607.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$266.36 / $357.94 / $541.13