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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
$591.28 / $591.28 / $591.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.60 / $496.97 / $496.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$515.42 / $1,065.22 / $1,272.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.62 / $387.64 / $484.41
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$184.73 / $450.89 / $526.79
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$381.07 / $404.16 / $461.90
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $411.78
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$662.07 / $997.95 / $1,414.69
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.36 / $497.99 / $570.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.18 / $277.39 / $496.39