go back

Wisconsin rates for HCPCS 78457

Venous Thrombosis Imaging Venogram Unilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$50.74 / $50.74 / $71.01
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$86.51 / $98.30 / $155.08
Quartz
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$161.97 / $161.97 / $161.97