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Virginia 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
$233.93 / $233.93 / $664.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.57 / $233.93 / $238.49
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$730.02 / $922.36 / $1,204.48
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.23 / $277.70 / $391.85
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.57 / $421.01 / $624.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$506.63 / $662.45 / $1,113.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.90 / $301.99 / $511.44
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $325.67 / $336.23
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$228.22 / $318.08 / $458.93
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.00 / $302.00 / $472.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.21 / $246.65 / $512.24
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.68 / $268.52 / $606.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.50 / $866.23 / $866.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.99 / $313.26 / $531.90