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Pennsylvania 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
$1,002.27 / $6,432.00 / $27,561.95
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$275.61 / $314.11 / $314.11
Aetna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$110.24 / $125.64 / $125.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$530.37 / $695.89 / $2,369.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,765.15 / $46,478.00 / $77,850.02
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$506.56 / $966.55 / $1,188.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,570.00 / $8,956.00 / $12,668.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$585.65 / $807.15 / $1,198.21
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$826.18 / $826.18 / $915.99
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,305.89 / $20,730.91 / $66,739.00
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,013.00 / $6,441.00 / $27,561.95
Martin's Point
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$314.11 / $314.11 / $314.11
Martin's Point
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$125.64 / $125.64 / $125.64
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$535.54 / $812.66 / $2,233.17
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,041.20 / $1,152.80 / $2,305.19
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,624.00 / $7,463.00 / $23,196.00
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$623.03 / $823.37 / $1,299.59
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$560.20 / $565.20 / $565.20
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$540.54 / $565.20 / $590.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,468.00 / $7,000.00 / $36,783.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$596.84 / $785.34 / $1,260.00