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Iowa 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
$213.80 / $213.80 / $245.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $229.09 / $602.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $812.83 / $831.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $575.44 / $724.44
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $323.59 / $912.01
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.74 / $575.44 / $1,071.52
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $371.54 / $812.83
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $575.44 / $645.65
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $831.76 / $831.76
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $562.34 / $616.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $912.01 / $1,230.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $275.42 / $588.84
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $407.38 / $478.63