go back

Tennessee 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
$189.43 / $4,069.00 / $31,885.00
Aetna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$119.45 / $244.87 / $316.86
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,275.00 / $2,326.00 / $4,936.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,413.00 / $12,909.00 / $22,801.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,385.51 / $31,754.00 / $31,754.00
Lucent Health
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$286.20 / $6,350.80 / $6,350.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,964.00 / $9,163.00 / $26,037.00