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South 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
$659.90 / $22,316.75 / $44,368.00
Aetna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$131.97 / $131.97 / $131.97
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,364.21 / $22,395.32 / $36,087.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,239.00 / $32,000.00 / $58,466.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$643.66 / $741.53 / $1,478.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,028.00 / $21,443.00 / $27,446.00