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Wisconsin rates for HCPCS 92990

Prq Balloon Valvuloplasty Pulmonary Valve

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,353.22 / $2,230.67 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$996.16 / $1,413.34 / $4,512.18
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,878.00 / $15,141.00 / $22,609.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,024.11 / $1,968.81 / $7,055.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,654.70 / $3,102.23 / $5,003.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,626.48 / $2,906.60 / $4,239.18
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,034.24 / $1,413.34 / $2,252.06
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,128.26 / $8,791.00 / $17,200.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,223.15 / $2,335.81 / $6,841.33
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.84 / $722.99 / $2,017.51
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,034.24 / $1,413.34 / $2,252.06
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,126.73 / $2,902.62 / $3,665.72
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,629.00 / $13,629.00 / $13,629.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,560.10 / $5,089.35 / $8,672.74
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,341.96 / $5,341.96 / $5,341.96
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,766.74 / $7,142.72 / $7,142.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,627.00 / $12,373.00 / $15,090.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,223.15 / $2,598.42 / $5,346.97