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Montana rates for HCPCS 92990

Prq Balloon Valvuloplasty Pulmonary Valve

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.80 / $1,325.03 / $5,578.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,691.50 / $1,691.50 / $2,010.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,051.82 / $1,691.50 / $2,381.48
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,691.50 / $2,077.40 / $2,125.83
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,035.20 / $1,466.56 / $2,362.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,629.96 / $1,856.14 / $2,953.53