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Hawaii rates for HCPCS 92990

Prq Balloon Valvuloplasty Pulmonary Valve

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,747.00 / $8,431.00 / $10,303.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.81 / $1,071.81 / $1,590.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,290.45 / $1,371.97 / $1,786.32
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,134.76 / $1,293.65 / $13,672.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,135.59 / $1,238.83 / $1,445.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,028.00 / $3,028.00 / $3,028.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,053.01 / $1,297.52 / $1,700.31
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$945.77 / $8,108.88 / $12,953.00