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Tracer Scan for Vein Clots on Both Sides

New Mexico 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 $275 · 10th–90th $245$8910%10%20%10th90th$275Professionalmedian $234 · 10th–90th $145$1,2300%20%10th90th$234$50.0$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$257.04
Typical High
$295.12
Aetna
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$234.42
Typical High
$1,230.27
Cigna
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$354.81
Typical High
$354.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$288.40
Typical High
$426.58
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$141.25
Providence
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$263.03
Typical High
$467.74
Providence
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$288.40
Typical High
$426.58
United
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$891.25
Typical High
$1,737.80
United
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$181.97
Typical High
$354.81