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Indiana rates for HCPCS 78458

Venous thrombosis imaging, venogram; bilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$174.84 / $289.72 / $1,180.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.37 / $174.84 / $185.87
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.00 / $366.70 / $732.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.00 / $190.00 / $269.80
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.54 / $151.30 / $236.94
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.05 / $144.90 / $222.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.62 / $329.27 / $580.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.31 / $264.00 / $436.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.08 / $223.81 / $377.14