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Wisconsin 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
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,878.00 / $23,264.00 / $38,530.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.99 / $561.59 / $561.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,294.01 / $1,512.15 / $2,439.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$938.43 / $1,184.70 / $2,342.02
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.69 / $300.69 / $375.86
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$308.77 / $14,112.20 / $22,958.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $58.40 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.69 / $300.69 / $375.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,758.40 / $6,758.40 / $6,758.40