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New Hampshire rates for HCPCS 92990

Prq Balloon Valvuloplasty Pulmonary Valve

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $3,456.26 / $9,859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,018.94 / $1,140.60 / $1,140.60
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,749.20 / $6,388.00 / $10,149.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,129.54 / $2,357.02 / $3,890.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50,123.00 / $52,267.00 / $61,633.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,560.56 / $2,478.42 / $3,768.15
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,231.19 / $2,386.94 / $4,252.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,399.00 / $12,399.00 / $12,399.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,490.78 / $2,277.34 / $7,221.81
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$848.38 / $933.22 / $1,187.73