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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
$198.90 / $236.97 / $236.97
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$632.08 / $873.09 / $1,432.92
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.20 / $246.55 / $367.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.35 / $334.81 / $438.59
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.37 / $272.32 / $510.94
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.90 / $236.97 / $315.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.89 / $245.66 / $526.83