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Arizona rates for HCPCS 78291

Peritoneal-Venous Shunt Patency Test

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.88 / $245.88 / $1,734.43
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$196.72 / $747.10 / $1,183.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.26 / $276.33 / $1,338.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$577.23 / $841.96 / $1,123.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.84 / $319.83 / $510.05
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$216.02 / $327.08 / $1,229.45
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.56 / $223.93 / $1,605.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$377.12 / $377.12 / $874.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.56 / $223.93 / $421.52