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Minnesota rates for HCPCS 78456

Acute Venous Thrombosis Imaging Peptide

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.00 / $306.83 / $318.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.25 / $306.83 / $594.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$701.14 / $2,350.98 / $5,046.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$462.03 / $707.15 / $1,014.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$739.51 / $1,048.71 / $2,522.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$438.25 / $551.07 / $842.29
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$582.29 / $958.78 / $1,986.48
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$433.91 / $433.91 / $787.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$287.14 / $512.10 / $3,147.71
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$350.14 / $585.51 / $1,135.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$345.53 / $575.66 / $970.46