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Utah 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
$794.71 / $4,387.00 / $40,727.00
Aetna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$158.94 / $158.94 / $158.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,746.82 / $18,042.95 / $30,211.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,028.00 / $9,753.00 / $33,939.00