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Tracer Scan for Vein Clots on Both Sides

New Jersey 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 $178$1,2020%10%10th90th$676Professionalmedian $191 · 10th–90th $162$2880%20%10th90th$191$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0K

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
$177.83
Median
$691.83
Typical High
$1,202.26
Aetna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$177.83
Typical High
$223.87
Cigna
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$371.54
Typical High
$794.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$245.47
Typical High
$407.38
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$263.03
Typical High
$263.03
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$1,318.26
Typical High
$2,137.96
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$213.80
Typical High
$316.23
United
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$616.60
Typical High
$1,023.29
United
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$234.42
Typical High
$426.58