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Alaska rates for HCPCS 78458

Venous thrombosis imaging, venogram; bilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$519.65 / $519.65 / $519.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$572.29 / $572.29 / $1,212.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$509.03 / $509.03 / $620.84
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$818.37 / $818.37 / $818.37
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.20 / $554.10 / $999.25
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$713.75 / $780.30 / $1,044.93
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$818.37 / $818.37 / $818.37
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.20 / $740.00 / $1,366.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.24 / $496.68 / $745.02