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Hawaii 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
$263.03 / $295.12 / $346.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $204.17 / $354.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $346.74 / $562.34
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $407.38 / $407.38
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $309.03 / $363.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $281.84 / $446.68
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $380.19 / $602.56