go back

South Carolina rates for HCPCS 78456

Acute Venous Thrombosis Imaging Peptide

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$235.25 / $235.25 / $235.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.25 / $235.25 / $258.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$313.99 / $563.94 / $1,176.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.81 / $220.75 / $343.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.45 / $4,066.76 / $6,564.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$246.17 / $354.37 / $688.98
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.21 / $321.00 / $841.39
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,066.15 / $1,066.15 / $1,066.15
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.02 / $239.07 / $320.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,305.94 / $1,305.94 / $1,305.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.83 / $353.84 / $604.19