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Vermont rates for HCPCS 78456

Acute Venous Thrombosis Imaging Peptide

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.60 / $263.60 / $263.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,447.88 / $1,447.88 / $1,447.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$388.25 / $444.52 / $1,238.70
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$388.25 / $444.52 / $1,238.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$321.25 / $410.96 / $676.51