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Tracer Scan for Vein Clots on Both Sides

Hawaii rates for HCPCS 78458

A scan that uses a small amount of radioactive tracer given through a vein, with a camera following it to show where flow through the veins is blocked by a clot. This version covers imaging the veins on both sides of the body.

Rates data updated July 2026.

Facilitymedian $234 · 10th–90th $209$2750%20%40%10th90th$234Professionalmedian $302 · 10th–90th $138$4790%20%10th90th$302$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$234.42
Typical High
$275.42
Aetna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$138.04
Cigna
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$275.42
Typical High
$302.00
HMSA
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$288.40
Typical High
$302.00
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$245.47
Typical High
$288.40
United
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$354.81
University Health Alliance
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$309.03
Typical High
$478.63