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Montana rates for HCPCS 78456

Acute venous thrombosis imaging, peptide

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $331.13 / $977.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $549.54 / $1,548.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $295.12 / $891.25
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $524.81 / $3,090.30
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $524.81 / $3,090.30
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $467.74 / $794.33
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $426.58 / $645.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $281.84 / $562.34