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New Hampshire rates for HCPCS 78456

Acute venous thrombosis imaging, peptide

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$434.78 / $886.19 / $886.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.55 / $266.08 / $266.08
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,166.02 / $1,465.36 / $1,627.86
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.68 / $400.34 / $580.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,142.80 / $2,324.64 / $7,857.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$364.65 / $678.22 / $1,047.73
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$317.50 / $554.77 / $3,253.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$289.95 / $396.00 / $956.86
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.82 / $278.10 / $353.95