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Illinois 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
$471.76 / $2,989.00 / $18,000.00
Aetna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$146.53 / $218.40 / $218.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,057.82 / $10,818.88 / $21,664.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,429.00 / $14,000.00 / $19,116.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$679.81 / $1,020.11 / $3,680.82
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,520.00 / $11,718.00 / $24,971.00