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Michigan 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
$226.99 / $276.38 / $276.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.41 / $276.38 / $276.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$341.88 / $468.08 / $832.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.75 / $326.80 / $396.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.53 / $405.31 / $558.51
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$203.00 / $203.00 / $276.38
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.00 / $237.51 / $355.07
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.19 / $202.65 / $266.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$377.12 / $377.12 / $377.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.48 / $263.45 / $380.93