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Tracer Scan for Vein Clots on Both Sides

North Dakota rates for HCPCS 78458

A scan that uses a small amount of radioactive tracer given through a vein, with a camera following it to show where flow through the veins is blocked by a clot. This version covers imaging the veins on both sides of the body.

Rates data updated July 2026.

Facilitymedian $209 · 10th–90th $204$3310%50%10th90th$209Professionalmedian $363 · 10th–90th $170$4900%10%20%10th90th$363$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$208.93
Typical High
$331.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$204.17
Typical High
$208.93
BCBS
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$436.52
Typical High
$489.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$316.23
Typical High
$457.09
Medica
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$275.42
Typical High
$446.68
Medica
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$407.38
Typical High
$1,479.11
United
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$380.19
Typical High
$501.19