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New Jersey rates for HCPCS 78456

Acute Venous Thrombosis Imaging Peptide

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$207.04 / $207.04 / $1,387.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.04 / $265.64 / $337.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$598.67 / $965.92 / $1,308.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$221.34 / $369.68 / $649.99
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$394.66 / $394.66 / $394.66
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,908.78 / $3,173.87 / $6,052.90
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.35 / $309.82 / $377.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.60 / $353.84 / $630.20