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Missouri rates for HCPCS 78456

Acute venous thrombosis imaging, peptide

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.12 / $484.01 / $1,592.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.12 / $273.80 / $317.95
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.35 / $321.68 / $481.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$715.59 / $998.82 / $4,599.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.88 / $411.46 / $646.77
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$284.86 / $468.36 / $4,042.45
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.56 / $375.17 / $1,920.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,371.24 / $1,758.81 / $3,002.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.56 / $375.17 / $635.45