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New Hampshire rates for HCPCS 92938

Percutaneous transluminal revascularization of or through coronary artery bypass graft (internal mammary, free arterial, venous), any combination of intracoronary stent, atherectomy and angioplasty, including distal protection when performed; each additional branch subtended by the bypass graft (List separately in addition to code for primary procedure)

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,481.20 / $13,868.00 / $21,869.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.18 / $168.18 / $168.18
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.76 / $151.54 / $192.86