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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
$169.82 / $426.58 / $575.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $194.98 / $269.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $234.42 / $371.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.78 / $213.80 / $407.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $218.78 / $302.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $512.86 / $1,348.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $269.15 / $389.05
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.21 / $316.23 / $1,230.27
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $251.19 / $1,479.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.12 / $398.11 / $562.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $234.42 / $398.11