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Massachusetts rates for HCPCS 78456

Acute Venous Thrombosis Imaging Peptide

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$266.08 / $266.08 / $287.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.04 / $266.08 / $370.30
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$333.56 / $906.33 / $3,040.74
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.18 / $380.46 / $1,920.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$317.95 / $2,010.39 / $3,770.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$386.91 / $1,771.60 / $3,952.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$280.55 / $556.38 / $963.67
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$241.52 / $544.96 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.38 / $328.47 / $531.34
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$345.29 / $669.65 / $2,161.50
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$599.67 / $599.67 / $4,042.45
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.80 / $447.60 / $1,920.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.80 / $380.46 / $1,055.94