go back

Rhode Island rates for HCPCS 78456

Acute Venous Thrombosis Imaging Peptide

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.36 / $251.36 / $275.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$747.20 / $2,670.43 / $3,085.73
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $338.84 / $598.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,263.48 / $3,298.10 / $5,797.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$352.96 / $640.37 / $739.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.27 / $290.93 / $506.49