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Nebraska rates for HCPCS 78456

Acute venous thrombosis imaging, peptide

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$270.37 / $270.37 / $272.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.37 / $270.37 / $1,826.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$853.98 / $1,114.23 / $2,172.67
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$495.75 / $529.91 / $543.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,563.84 / $1,563.84 / $1,563.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$536.91 / $663.22 / $829.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$292.14 / $673.84 / $4,042.45
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$348.96 / $567.05 / $862.58
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$532.41 / $725.40 / $1,563.84
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$387.28 / $631.04 / $751.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$348.96 / $567.05 / $727.00