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Virginia rates for HCPCS 78456

Acute venous thrombosis imaging, peptide

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$282.08 / $282.67 / $802.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.33 / $282.67 / $282.67
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$862.40 / $1,089.60 / $1,422.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.22 / $329.78 / $466.24
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.04 / $535.59 / $794.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.96 / $807.49 / $1,355.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$221.34 / $393.19 / $702.34
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.80 / $384.73 / $397.10
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.76 / $397.77 / $544.41
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.00 / $412.30 / $572.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.29 / $278.56 / $618.66
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.97 / $322.23 / $695.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,967.01 / $3,002.90 / $3,002.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.42 / $391.97 / $636.16