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Missouri rates for HCPCS 78458

Venous thrombosis imaging, venogram; bilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.08 / $268.39 / $466.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.53 / $184.45 / $214.21
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.94 / $206.20 / $359.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$383.05 / $553.51 / $1,345.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.55 / $269.29 / $427.35
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$191.90 / $319.58 / $1,229.45
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.42 / $250.44 / $1,484.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.42 / $239.08 / $424.17