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South Carolina rates for HCPCS 78291

Peritoneal-Venous Shunt Patency Test

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.05 / $199.05 / $199.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.05 / $199.05 / $216.45
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$403.59 / $727.68 / $1,496.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.00 / $216.54 / $294.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$768.58 / $1,251.76 / $2,020.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.49 / $280.26 / $486.10
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.05 / $259.19 / $672.92
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$307.55 / $307.55 / $307.55
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.02 / $207.79 / $278.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$377.12 / $377.12 / $450.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.15 / $268.35 / $446.36