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Utah rates for HCPCS 78291

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

Facilitymedian $977 · 10th–90th $269–$1,2300%20%40%10th90th$977Professionalmedian $263 · 10th–90th $81–$4470%20%10th90th$263$50.0$100.0$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$269.15 / $1,230.27 / $1,230.27
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $257.04 / $269.15
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$426.58 / $724.44 / $1,621.81
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $323.59 / $457.09
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $60.26 / $426.58
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$575.44 / $831.76 / $1,445.44
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$363.08 / $501.19 / $524.81
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$245.47 / $363.08 / $602.56
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $275.42 / $398.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $263.03 / $436.52