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Texas 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
$1,241.00 / $5,306.00 / $20,472.00
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$211.17 / $263.29 / $326.81
Aetna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$84.47 / $105.32 / $130.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.33 / $548.76 / $1,007.68
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$506.56 / $552.82 / $713.32
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,459.41 / $18,925.20 / $40,822.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$420.66 / $521.32 / $913.38
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,238.61 / $32,145.00 / $52,259.04
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$749.95 / $749.95 / $957.03
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$454.99 / $555.92 / $555.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,475.00 / $19,085.00 / $36,562.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$605.52 / $782.00 / $1,131.10
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,792.22 / $39,670.90 / $39,670.90
Lucent Health
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$1,018.95 / $30,081.88 / $30,081.88
Lucent Health
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$254.74 / $7,520.47 / $7,520.47
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,571.80 / $3,571.80 / $4,890.89
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$526.58 / $653.63 / $1,198.74
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$723.68 / $835.02 / $2,250.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$825.10 / $1,040.25 / $2,091.71
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$528.13 / $724.10 / $24,270.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$594.42 / $807.38 / $1,288.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,614.00 / $9,280.00 / $30,675.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$483.61 / $649.51 / $1,030.08
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$475.11 / $544.69 / $744.80