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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
$263.03 / $263.03 / $1,258.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $288.40 / $891.25
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $954.99 / $4,073.80
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $380.19 / $1,905.46
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $1,737.80 / $2,511.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $1,412.54 / $4,073.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $562.34 / $954.99
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $446.68 / $7,079.46
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $363.08 / $562.34
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $407.38 / $831.76
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $954.99 / $4,073.80
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $371.54 / $1,905.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.88 / $2,187.76 / $4,265.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $446.68 / $1,230.27