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New York 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
$6,196.00 / $28,202.00 / $64,677.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.28 / $129.69 / $240.26
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,064.50 / $10,129.00 / $15,193.50
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$401.00 / $401.00 / $20,953.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.48 / $94.48 / $94.48
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.48 / $106.17 / $106.17
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $13,085.00 / $74,999.25
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.62 / $113.62 / $117.03
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.17 / $106.17 / $106.17