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Utah rates for HCPCS 78458

Venous Thrombosis Imaging Venogram Bilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$211.54 / $211.54 / $211.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.54 / $211.54 / $211.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$421.81 / $515.80 / $1,632.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.76 / $243.56 / $350.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.99 / $133.39 / $202.48
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$623.61 / $793.80 / $1,217.07
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$286.52 / $332.62 / $424.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.92 / $212.21 / $352.81