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Delaware rates for HCPCS 78458

Venous thrombosis imaging, venogram; bilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $251.19 / $323.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $173.78 / $478.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $630.96 / $630.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $181.97 / $323.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $229.09 / $478.63