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Ohio rates for HCPCS 78456

Acute venous thrombosis imaging, peptide

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.03 / $389.05 / $3,311.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $288.40 / $851.14
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,090.30 / $3,467.37 / $3,630.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $245.47 / $416.87
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.67 / $213.80 / $257.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $229.09 / $794.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $346.74 / $660.69
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $2,884.03 / $4,466.84
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $371.54 / $660.69
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $33.11
SummaCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $1,584.89 / $1,584.89
SummaCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $363.08 / $602.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $977.24 / $3,090.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $323.59 / $562.34