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Maine rates for HCPCS 78456

Acute venous thrombosis imaging, peptide

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $302.00 / $870.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $1,023.29 / $1,023.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $398.11 / $524.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $524.81 / $741.31
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $416.87 / $812.83
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $354.81 / $870.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $436.52 / $794.33