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Nebraska rates for HCPCS 78458

Venous thrombosis imaging, venogram; bilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $181.97 / $186.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $204.17 / $1,230.27
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $977.24 / $2,187.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $346.74 / $363.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $1,047.13 / $1,047.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $457.09 / $575.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $380.19 / $1,230.27
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $309.03 / $1,479.11
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $416.87 / $467.74
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $1,047.13 / $1,047.13
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $426.58 / $446.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.23 / $537.03 / $954.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $363.08 / $489.78