go back

South Dakota rates for HCPCS 92990

Prq Balloon Valvuloplasty Pulmonary Valve

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,093.21 / $1,093.21 / $4,338.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,013.57 / $1,093.21 / $1,633.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,066.48 / $2,096.39 / $2,583.10
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,360.82 / $1,712.93 / $2,514.42
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,145.59 / $2,082.90 / $8,672.74
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,035.83 / $2,428.73 / $2,724.08
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,482.00 / $2,304.32 / $2,724.08
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,196.54 / $1,828.79 / $2,088.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,357.00 / $5,357.00 / $5,357.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,145.59 / $1,874.54 / $2,186.96
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,153.90 / $2,534.00 / $2,635.30