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Michigan rates for HCPCS 78456

Acute venous thrombosis imaging, peptide

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$271.44 / $326.45 / $326.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.83 / $326.45 / $326.45
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$406.12 / $559.32 / $994.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.72 / $419.80 / $503.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.89 / $493.30 / $772.18
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$271.44 / $301.04 / $326.45
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.62 / $301.39 / $421.45
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.19 / $233.47 / $307.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,305.94 / $1,305.94 / $1,305.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.56 / $336.98 / $478.06