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Idaho 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
$602.56 / $602.56 / $602.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $354.81 / $501.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $891.25 / $1,412.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $436.52 / $630.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $1,071.52 / $1,258.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $389.05 / $489.78
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $446.68 / $549.54
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $407.38 / $645.65
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $1,071.52 / $1,412.54
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $501.19 / $588.84
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $213.80 / $831.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $229.09 / $501.19