| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $25.35 | $29.75 | $29.75 |
Aetna
| Professional | $67.91 | $80.50 | $108.66 | |
Cigna
| Professional | $55.64 | $80.02 | $149.93 | |
United
| Professional | $60.97 | $89.73 | $204.30 |
Shuntogram for investigation of previously placed indwelling nonvascular shunt (eg, LeVeen shunt, ventriculoperitoneal shunt, indwelling infusion pump), radiological supervision and interpretation
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $25.35 | $29.75 | $29.75 |
Aetna
| Professional | $67.91 | $80.50 | $108.66 | |
Cigna
| Professional | $55.64 | $80.02 | $149.93 | |
United
| Professional | $60.97 | $89.73 | $204.30 |