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Nebraska 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
$228.56 / $228.56 / $230.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.56 / $228.56 / $1,507.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$853.98 / $1,114.23 / $2,172.67
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$415.94 / $444.60 / $455.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,312.08 / $1,312.08 / $1,312.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$450.48 / $560.83 / $701.04
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$237.74 / $537.96 / $1,229.45
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.82 / $468.17 / $675.48
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$348.98 / $508.09 / $835.85
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$320.00 / $508.09 / $639.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.89 / $742.71 / $962.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.11 / $462.65 / $600.23