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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
$211.14 / $247.86 / $324.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.69 / $171.33 / $192.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$635.48 / $635.48 / $635.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.43 / $170.87 / $252.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.58 / $243.24 / $475.60