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Arizona rates for HCPCS 78458

Venous thrombosis imaging, venogram; bilateral

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $204.17 / $741.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.90 / $436.52 / $660.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $218.78 / $1,071.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.54 / $616.60 / $1,023.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $263.03 / $398.11
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.21 / $263.03 / $602.56
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $204.17 / $1,479.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $338.84 / $630.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $181.97 / $338.84