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Montana rates for HCPCS 78291

Peritoneal-Venous Shunt Patency Test

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.33 / $1,507.79 / $1,507.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$329.96 / $445.44 / $1,253.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.47 / $382.26 / $743.60
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$329.96 / $445.44 / $1,253.83
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.62 / $340.52 / $462.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.53 / $223.93 / $462.67