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New Mexico 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
$184.42 / $184.42 / $369.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.42 / $295.22 / $1,507.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.08 / $1,360.69 / $2,217.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$480.77 / $480.77 / $480.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.54 / $337.77 / $459.85
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $187.42 / $347.21
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$168.83 / $238.77 / $310.50
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.59 / $373.96 / $459.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$884.18 / $884.18 / $884.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.56 / $223.93 / $513.73