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Maryland rates for HCPCS 78456

Acute venous thrombosis imaging, peptide

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$258.33 / $258.33 / $258.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.16 / $282.08 / $347.23
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.18 / $309.48 / $355.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.38 / $374.14 / $790.79
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.52 / $336.64 / $641.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.33 / $308.52 / $682.43
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.14 / $264.60 / $415.20