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Missouri rates for HCPCS 78457

Venous thrombosis imaging, venogram; unilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$31.49 / $60.41 / $82.94
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$82.42 / $161.97 / $161.97