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Tracer Scan for Vein Clots on Both Sides

Indiana 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 $1,230 · 10th–90th $191$1,6220%20%10th90th$1,230Professionalmedian $186 · 10th–90th $170$3020%20%10th90th$186$50.0$100.0$200.0$500.0$1.0K

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
$173.78
Median
$870.96
Typical High
$1,174.90
Aetna
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$173.78
Typical High
$218.78
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$1,230.27
Typical High
$1,621.81
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$190.55
Typical High
$302.00
CareSource
Setting
Facility
Modifier
Global
Typical Low
$43.65
Median
$138.04
Typical High
$181.97
Cigna
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$363.08
Typical High
$575.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$263.03
Typical High
$416.87
United
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$338.84
Typical High
$812.83
United
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$229.09
Typical High
$371.54