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Balloon Widening of the Aortic Valve

South Dakota rates for HCPCS 92986

A catheter carrying a balloon is threaded through a blood vessel up to the valve at the outlet of the heart's main pumping chamber, and the balloon is inflated to force open a valve stiffened and narrowed by calcium or scarring. Opening it lets blood leave the heart more easily, easing breathlessness, chest tightness, and blackouts. The chest is not opened.

Facilitymedian $2,884 · 10th–90th $1,318$6,9180%20%10th90th$2,884Professionalmedian $2,291 · 10th–90th $1,660$2,8180%20%10th90th$2,291$2.0K$5.0K$10.0K

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
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$4,365.16
Typical High
$6,918.31
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$1,995.26
Typical High
$3,388.44
Midlands
Setting
Professional
Modifier
Global
Typical Low
$2,454.71
Median
$2,454.71
Typical High
$3,019.95
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$1,659.59
Median
$2,238.72
Typical High
$2,754.23
United
Setting
Facility
Modifier
Global
Typical Low
$5,370.32
Median
$5,370.32
Typical High
$11,748.98