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Iowa rates for HCPCS 78291

Peritoneal-Venous Shunt Patency Test

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$242.82 / $242.82 / $242.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.39 / $212.39 / $1,734.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$788.54 / $812.20 / $835.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.09 / $560.83 / $701.04
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.14 / $321.52 / $722.11
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$350.00 / $559.82 / $1,031.97
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.84 / $312.74 / $756.07
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$348.98 / $508.09 / $812.20
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$320.00 / $508.09 / $639.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$496.98 / $509.11 / $754.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.00 / $276.18 / $533.88
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$322.08 / $407.70 / $479.60