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New Hampshire 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
$870.96 / $870.96 / $870.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $245.47 / $309.03
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $1,318.26 / $1,479.11
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $346.74 / $489.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $1,659.59 / $2,398.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $575.44 / $758.58
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $446.68 / $812.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $331.13 / $912.01