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Utah rates for HCPCS 78291

Peritoneal-Venous Shunt Patency Test

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$271.70 / $271.70 / $271.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$271.70 / $271.70 / $271.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$421.81 / $515.80 / $1,632.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.62 / $284.04 / $461.37
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.99 / $177.19 / $237.48
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$623.61 / $793.80 / $1,217.07
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$360.39 / $483.83 / $514.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.86 / $260.60 / $437.99