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North Dakota rates for HCPCS 78456

Acute Venous Thrombosis Imaging Peptide

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.82 / $316.82 / $488.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.85 / $306.83 / $316.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$542.36 / $652.11 / $717.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$313.37 / $534.23 / $701.53
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.82 / $407.15 / $698.32
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.31 / $633.64 / $1,920.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$345.53 / $601.02 / $722.18