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Tennessee rates for HCPCS 78456

Acute Venous Thrombosis Imaging Peptide

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.85 / $251.85 / $470.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.85 / $263.43 / $434.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.62 / $399.75 / $612.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$491.18 / $705.79 / $1,092.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.36 / $432.36 / $739.43
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$552.71 / $4,042.45 / $4,042.45
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,920.89 / $1,920.89 / $2,369.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$160.28 / $160.28 / $160.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.97 / $379.21 / $738.23