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Louisiana rates for HCPCS 78456

Acute venous thrombosis imaging, peptide

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$279.67 / $350.85 / $934.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$332.08 / $350.85 / $367.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$249.04 / $1,338.09 / $3,057.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$336.35 / $357.96 / $578.89
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $243.24 / $243.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$228.04 / $646.60 / $1,256.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.49 / $272.05 / $666.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.97 / $325.23 / $502.72