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Pennsylvania rates for HCPCS 78458

Venous thrombosis imaging, venogram; bilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$198.76 / $316.51 / $1,025.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.69 / $176.51 / $246.14
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,000.00 / $8,639.91 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.74 / $190.67 / $368.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$183.57 / $579.85 / $1,213.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.34 / $228.53 / $352.44
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$266.20 / $266.20 / $297.27
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$198.76 / $339.75 / $785.10
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.08 / $192.34 / $785.10
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.67 / $578.42 / $1,213.41
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.46 / $231.97 / $354.35
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.93 / $186.93 / $202.50
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.89 / $186.93 / $203.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.09 / $231.09 / $370.75