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Georgia rates for HCPCS 92941

Percutaneous transluminal revascularization of acute total/subtotal occlusion during acute myocardial infarction, any combination of intracoronary stent, atherectomy and angioplasty, including aspiration thrombectomy when performed, single major coronary artery and/or its branches or single bypass graft and/or its subtended branches

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$735.36 / $5,595.00 / $34,045.00
Aetna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$120.92 / $120.92 / $139.63
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,476.94 / $14,538.00 / $34,380.73
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$636.59 / $868.81 / $954.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,105.00 / $11,616.00 / $25,173.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$763.91 / $891.23 / $3,498.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,725.00 / $13,746.00 / $24,000.00