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New York 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
$769.60 / $6,393.00 / $52,734.22
Aetna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$127.05 / $161.66 / $231.29
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,742.45 / $14,598.00 / $58,209.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$922.05 / $5,064.50 / $15,193.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,886.00 / $30,055.00 / $45,917.00
Cigna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$143.91 / $143.91 / $143.91
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $939.00 / $3,812.34
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30,779.35 / $30,779.35 / $30,779.35
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,209.00 / $30,469.00 / $45,917.00
MVP Health Care
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$143.91 / $143.91 / $143.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,444.00 / $13,478.00 / $40,704.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$878.51 / $878.51 / $2,121.03