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South Carolina rates for HCPCS 92990

Prq Balloon Valvuloplasty Pulmonary Valve

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,089.43 / $11,018.00 / $18,276.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,057.11 / $1,089.43 / $1,278.67
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,679.74 / $13,319.52 / $21,386.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$991.77 / $1,235.00 / $2,171.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,239.00 / $32,000.00 / $58,466.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,120.19 / $1,273.00 / $2,710.34
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$994.30 / $1,493.29 / $2,552.61
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.30 / $909.02 / $1,520.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,028.00 / $19,627.00 / $25,620.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,041.45 / $1,402.83 / $2,736.69