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Maine rates for HCPCS 92990

Prq Balloon Valvuloplasty Pulmonary Valve

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,041.53 / $10,041.53 / $10,041.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.80 / $1,205.05 / $1,633.35
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,129.54 / $1,393.84 / $2,142.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,313.86 / $1,628.44 / $2,294.66
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,195.33 / $1,330.58 / $2,070.38
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,041.53 / $10,041.53 / $10,041.53
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.80 / $1,205.05 / $1,633.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,075.74 / $1,518.28 / $1,832.41