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Washington, DC rates for HCPCS 0659T

Transcatheter intracoronary infusion of supersaturated oxygen in conjunction with percutaneous coronary revascularization during acute myocardial infarction, including catheter placement, imaging guidance (eg, fluoroscopy), angiography, and radiologic supervision and interpretation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.86 / $1,614.00 / $7,727.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.86 / $86.86 / $86.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,832.00 / $20,514.00 / $37,262.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.90 / $188.90 / $188.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.00 / $1,319.00 / $16,382.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.42 / $107.78 / $8,520.33