go back

Utah rates for HCPCS 92990

Prq Balloon Valvuloplasty Pulmonary Valve

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,352.74 / $4,387.00 / $30,612.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,352.74 / $1,352.74 / $4,311.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,746.82 / $18,042.95 / $30,211.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,389.95 / $1,527.96 / $3,066.34
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.01 / $731.13 / $1,034.50
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,616.70 / $20,988.87 / $30,397.25
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,047.55 / $2,384.64 / $4,024.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,028.00 / $9,753.00 / $29,759.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,038.18 / $1,261.16 / $1,898.30