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Tennessee 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
$201.48 / $201.48 / $376.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.48 / $210.75 / $366.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.07 / $293.31 / $490.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$410.47 / $567.63 / $874.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.84 / $344.87 / $587.08
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$468.58 / $1,283.11 / $1,283.11
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,605.02 / $1,605.02 / $2,007.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$191.44 / $441.76 / $828.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.93 / $285.83 / $568.26