go back

West Virginia rates for HCPCS 78458

Venous thrombosis imaging, venogram; bilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.83 / $177.83 / $177.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $204.17 / $331.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.12 / $295.12 / $501.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $467.74 / $891.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $1,122.02 / $1,122.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $181.97 / $338.84