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Arkansas 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
$737.66 / $2,477.00 / $12,812.00
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$368.83 / $368.83 / $626.60
Aetna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$147.53 / $147.53 / $250.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.14 / $588.08 / $737.66
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,796.13 / $10,796.13 / $12,955.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$595.99 / $788.81 / $788.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,125.00 / $8,439.00 / $9,992.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$825.39 / $971.23 / $1,275.89
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,063.75 / $1,063.75 / $1,063.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,104.00 / $4,663.00 / $10,818.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$556.72 / $757.48 / $1,180.81