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Indiana rates for HCPCS 78291

Peritoneal-Venous Shunt Patency Test

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219.54 / $457.36 / $1,180.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.05 / $219.54 / $233.46
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.05 / $318.55 / $917.30
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.05 / $165.05 / $234.37
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.50 / $191.02 / $297.41
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.53 / $214.03 / $278.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.84 / $440.24 / $776.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.49 / $248.23 / $508.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$884.18 / $884.18 / $884.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.58 / $262.08 / $457.25