go back

West Virginia rates for HCPCS 78456

Acute venous thrombosis imaging, peptide

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.03 / $263.03 / $263.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $302.00 / $436.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $436.52 / $1,698.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $870.96 / $1,318.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,630.78 / $3,630.78 / $3,630.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $251.19 / $524.81