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Michigan 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
Professional
Modifier
Low / Median / High Price
$428.54 / $428.54 / $428.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$505.99 / $677.90 / $1,048.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.86 / $216.60 / $281.16
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.99 / $2,878.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.99 / $171.34 / $330.00