go back

Alaska rates for HCPCS 78291

Peritoneal-venous shunt patency test (eg, for LeVeen, Denver shunt)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$646.79 / $646.79 / $646.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$712.33 / $712.33 / $1,507.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$684.95 / $684.95 / $762.56
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,018.63 / $1,018.63 / $1,018.63
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$351.03 / $692.85 / $1,249.50
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$892.50 / $981.45 / $1,306.61
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,018.63 / $1,018.63 / $1,018.63
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$351.03 / $923.75 / $1,716.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$304.04 / $610.04 / $915.06