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Tracer Scan for Vein Clots on Both Sides

New Hampshire 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 $933 · 10th–90th $759$1,2300%20%10th90th$933Professionalmedian $269 · 10th–90th $186$5620%10%10th90th$269$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
$758.58
Median
$758.58
Typical High
$758.58
Aetna
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$169.82
Typical High
$199.53
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$1,047.13
Typical High
$1,174.90
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$269.15
Typical High
$389.05
Cigna
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$1,479.11
Typical High
$2,511.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$380.19
Typical High
$588.84
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$338.84
Typical High
$660.69
United
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$263.03
Typical High
$758.58