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South Dakota rates for HCPCS 78291

Peritoneal-venous shunt patency test (eg, for LeVeen, Denver shunt)

Facilitymedian $257 · 10th–90th $257$3720%50%90th$257Professionalmedian $347 · 10th–90th $229$7240%10%20%10th90th$347$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$257.04 / $257.04 / $257.04
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $257.04 / $309.03
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$524.81 / $575.44 / $724.44
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$245.47 / $331.13 / $602.56
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $346.74 / $575.44
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$575.44 / $575.44 / $575.44
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $416.87 / $457.09
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $426.58 / $676.08
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$407.38 / $478.63 / $478.63