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Arkansas rates for HCPCS 92943

Percutaneous transluminal revascularization of chronic total occlusion, single coronary artery, coronary artery branch, or coronary artery bypass graft, and/or subtended major coronary artery branches of the bypass graft, any combination of intracoronary stent, atherectomy and angioplasty; antegrade approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$828.62 / $2,344.00 / $11,330.00
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$414.31 / $414.31 / $703.88
Aetna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$165.72 / $165.72 / $281.55
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,796.13 / $10,796.13 / $12,955.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,125.00 / $8,439.00 / $9,992.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,104.00 / $4,663.00 / $10,818.00