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Tracer Scan for Vein Clots on Both Sides

Maine 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 $871 · 10th–90th $692$8710%50%10th$871Professionalmedian $234 · 10th–90th $200$3720%20%40%10th90th$234$200.0$500.0$1.0K$2.0K

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
Professional
Modifier
Global
Typical Low
$199.53
Median
$234.42
Typical High
$234.42
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$870.96
Typical High
$870.96
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$269.15
Typical High
$346.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$275.42
Typical High
$436.52
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$269.15
Typical High
$524.81
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$234.42
Typical High
$316.23
United
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$257.04
Typical High
$537.03