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Nuclear Vein Scan for Clot, One Side

Wisconsin rates for HCPCS 78457

A nuclear scan of the veins of one limb, done by injecting a tracer into a vein and following it with a camera as it travels back toward the heart. Places where the tracer is held up or diverted into surface veins suggest a clot blocking the deep veins. Only one side is examined.

Rates data updated July 2026.

Facilitymedian $100 · 10th–90th $51$1820%10%20%10th90th$100Professionalmedian $95 · 10th–90th $95$950%50%100%$95$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$51.29
Median
$51.29
Typical High
$70.79
Cigna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$89.13
Median
$102.33
Typical High
$165.96
Quartz
Setting
Facility
Modifier
26 · Professional part
Typical Low
$100.00
Median
$229.09
Typical High
$229.09
Security Health
Setting
Professional
Modifier
26 · Professional part
Typical Low
$95.50
Median
$95.50
Typical High
$95.50