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Montana rates for HCPCS 92990

Percutaneous balloon valvuloplasty; pulmonary valve

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,412.54 / $3,162.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $1,698.24 / $1,995.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,698.24 / $2,398.83
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $1,862.09 / $2,290.87
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.70 / $1,862.09 / $2,290.87
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,479.11 / $1,949.84 / $2,089.30
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $1,047.13 / $2,238.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,621.81 / $1,819.70 / $2,089.30