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Texas 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
$360.83 / $360.83 / $390.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.69 / $333.77 / $457.05
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,023.05 / $8,379.78 / $19,109.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.40 / $194.40 / $194.40
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,600.00 / $2,600.00 / $2,600.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.69 / $300.69 / $853.48
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$408.85 / $408.85 / $408.85
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$368.10 / $368.10 / $368.10
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$324.75 / $324.75 / $324.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.70 / $196.70 / $6,758.40
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.44 / $156.44 / $211.19