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Maine rates for HCPCS 78291

Peritoneal-Venous Shunt Patency Test

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.74 / $294.20 / $294.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$757.93 / $1,046.93 / $1,718.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.25 / $308.54 / $462.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.39 / $408.83 / $555.64
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.31 / $340.52 / $638.89
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.74 / $294.20 / $393.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.45 / $352.57 / $496.47