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Montana rates for HCPCS 78456

Acute venous thrombosis imaging, peptide

Facilitymedian $537 · 10th–90th $490–$1,5490%20%40%10th90th$537Professionalmedian $447 · 10th–90th $302–$1,8620%10%20%10th90th$447$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $380.19 / $1,862.09
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$407.38 / $549.54 / $1,548.82
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $457.09 / $891.25
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$489.78 / $524.81 / $3,090.30
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$489.78 / $524.81 / $3,090.30
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$407.38 / $549.54 / $1,548.82
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$288.40 / $426.58 / $645.65
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$389.05 / $389.05 / $389.05
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $281.84 / $562.34