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Mississippi rates for HCPCS 78456

Acute Venous Thrombosis Imaging Peptide

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$256.06 / $364.46 / $562.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.85 / $409.16 / $562.27
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$642.82 / $642.82 / $642.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$497.00 / $497.00 / $497.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$343.87 / $737.30 / $1,414.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.66 / $433.53 / $675.52
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,089.50 / $2,089.50 / $2,089.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.47 / $313.00 / $612.02