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Oklahoma 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
$188.50 / $203.93 / $333.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.08 / $223.48 / $250.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.25 / $122.97 / $316.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.72 / $200.72 / $266.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.01 / $224.47 / $304.57
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$188.50 / $302.58 / $1,382.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.56 / $254.25 / $607.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.56 / $231.35 / $395.18