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Arizona rates for HCPCS 78457

Venous Thrombosis Imaging Venogram Unilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$50.89 / $123.12 / $153.88
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$82.42 / $161.97 / $161.97