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Maine rates for HCPCS 78458

Venous thrombosis imaging, venogram; bilateral

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $204.17 / $741.31
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $870.96 / $870.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $269.15 / $346.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $346.74 / $489.78
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $275.42 / $524.81
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $251.19 / $741.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $245.47 / $524.81