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Michigan rates for HCPCS 78458

Venous Thrombosis Imaging Venogram Bilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.94 / $220.51 / $220.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.33 / $220.51 / $220.51
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$255.77 / $352.25 / $626.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.24 / $270.12 / $341.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.89 / $285.79 / $418.90
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.66 / $151.66 / $220.51
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.66 / $189.58 / $283.51
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.36 / $148.79 / $223.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.34 / $203.91 / $269.51