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Tracer Scan for Vein Clots on Both Sides

Nebraska 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 $676 · 10th–90th $158$1,2300%10%10th90th$676Professionalmedian $363 · 10th–90th $182$1,2300%20%10th90th$363$100.0$200.0$500.0$1.0K$2.0K

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
$181.97
Median
$181.97
Typical High
$186.21
Aetna
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$181.97
Typical High
$1,230.27
BCBS
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$977.24
Typical High
$2,187.76
BCBS
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$346.74
Typical High
$363.08
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,047.13
Median
$1,047.13
Typical High
$1,047.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$457.09
Typical High
$575.44
Medica
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$446.68
Typical High
$1,230.27
Medica
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$309.03
Typical High
$1,479.11
Midlands
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$426.58
Typical High
$467.74
Midlands
Setting
Facility
Modifier
Global
Typical Low
$1,047.13
Median
$1,047.13
Typical High
$1,047.13
Midlands
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$426.58
Typical High
$457.09
United
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$331.13
Typical High
$912.01
United
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$380.19
Typical High
$489.78