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New Hampshire rates for HCPCS 78291

Peritoneal-Venous Shunt Patency Test

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$368.11 / $871.38 / $871.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.85 / $256.74 / $256.74
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$987.04 / $1,240.44 / $1,377.99
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.95 / $339.08 / $491.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$955.33 / $1,842.10 / $2,418.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.73 / $573.54 / $753.77
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$268.91 / $469.87 / $940.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.83 / $327.58 / $496.47
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.97 / $229.87 / $292.56