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Alaska rates for HCPCS 92928

Percutaneous transcatheter placement of intracoronary stent(s), with coronary angioplasty when performed, single major coronary artery and/or its branch(es); 1 lesion involving 1 or more coronary segments

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,513.00 / $11,709.00 / $30,714.39
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$767.48 / $767.48 / $767.48
Aetna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$306.99 / $306.99 / $306.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$583.40 / $1,000.38 / $6,712.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,344.09 / $1,344.09 / $2,007.29
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$711.56 / $1,255.16 / $1,794.88
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,391.70 / $1,927.52 / $4,674.28
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,151.25 / $2,592.00 / $4,085.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$711.56 / $1,255.16 / $1,794.88
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$818.90 / $2,574.00 / $4,095.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,605.84 / $1,612.98 / $2,904.33