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Balloon Opening Of Wall Between Heart Chambers

South Dakota rates for HCPCS 92992

A catheter procedure, used mainly in newborns with certain heart defects, that enlarges the natural opening in the wall between the two upper chambers of the heart. A tube is passed through a vein to the heart, and a balloon at its tip is inflated on the far side of the opening and pulled back through it to widen it, so oxygen-rich and oxygen-poor blood can mix and the baby can be stabilized.

Rates data updated July 2026.

How much rates vary

Professionalmedian $2,570 · 10th to 90th $2,570 to $3,236
$2K$5K$10Kprofessional $2,570

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,570.40
Median
$2,570.40
Typical High
$3,235.94
Medica
Setting
Professional
Modifier
Global
Typical Low
$9,772.37
Median
$9,772.37
Typical High
$9,772.37