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Pennsylvania rates for HCPCS 78457

Venous Thrombosis Imaging Venogram Unilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$35.50 / $46.65 / $113.60
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$41.12 / $41.12 / $41.12
Martin's Point
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$35.50 / $66.39 / $116.09
Priority Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$41.12 / $41.12 / $41.12
UPMC Health Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$35.45 / $35.45 / $41.50