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Missouri 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
$212.47 / $320.64 / $538.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.67 / $231.67 / $268.89
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$945.00 / $945.00 / $1,035.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.85 / $270.70 / $411.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$455.69 / $735.50 / $1,345.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.95 / $326.33 / $540.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$241.03 / $395.26 / $1,229.45
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.11 / $310.58 / $1,605.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$395.98 / $510.86 / $866.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.31 / $312.88 / $529.96