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North Carolina 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
$643.66 / $1,072.21 / $21,914.00
Aetna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$128.72 / $128.72 / $214.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,023.00 / $24,040.00 / $31,898.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$547.11 / $764.54 / $1,238.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,688.00 / $15,870.00 / $25,999.00
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,385.51 / $5,385.51 / $31,754.00
Wellcare
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$286.20 / $286.20 / $6,350.80