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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
$169.82 / $218.78 / $218.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $194.98 / $288.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $363.08 / $630.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $281.84 / $281.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $229.09 / $436.52
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.18 / $398.11 / $831.76
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $199.53 / $251.19
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $218.78 / $416.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.78 / $380.19 / $1,122.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $208.93 / $281.84