go back

Indiana 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
$585.44 / $1,871.90 / $57,371.33
Aetna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$117.09 / $117.09 / $207.25
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,040.00 / $36,790.80 / $47,628.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$568.83 / $739.48 / $853.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,897.00 / $13,813.00 / $28,128.00