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Illinois rates for HCPCS 92921

Percutaneous transluminal coronary angioplasty; each additional branch of a major coronary artery (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.86 / $375.86 / $375.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$375.86 / $375.86 / $448.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$896.35 / $896.35 / $1,115.46
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.61 / $346.19 / $988.92
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.26 / $294.49 / $321.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,758.40 / $6,758.40 / $6,758.40