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South Carolina rates for HCPCS 92990

Percutaneous balloon valvuloplasty; pulmonary valve

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,943.28 / $12,022.64 / $18,197.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,096.48 / $1,949.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,079.46 / $11,748.98 / $20,417.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,230.27 / $1,659.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,982.44 / $30,902.95 / $61,659.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.02 / $1,348.96 / $2,630.27
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $1,479.11 / $2,570.40
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,709.64 / $19,952.62 / $25,703.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,258.93 / $1,995.26