go back

Louisiana 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
$678.00 / $2,500.00 / $4,050.00
Aetna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$164.21 / $164.21 / $196.49
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,439.57 / $19,944.78 / $29,460.88
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$615.28 / $615.28 / $615.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,656.00 / $8,813.00 / $19,124.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,200.00 / $5,780.00 / $13,506.00