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West Virginia 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
$17,075.24 / $17,075.24 / $17,075.24
Aetna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$134.08 / $134.08 / $134.08
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$636.25 / $858.94 / $1,049.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$740.59 / $740.59 / $740.59
Cigna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$143.91 / $143.91 / $143.91