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New Hampshire rates for HCPCS 78458

Venous thrombosis imaging, venogram; bilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $758.58 / $758.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $194.98 / $245.47
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $1,047.13 / $1,174.90
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $275.42 / $389.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $1,412.54 / $2,398.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $457.09 / $588.84
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $354.81 / $660.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $263.03 / $724.44