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Maine 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	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11,978.89 / $12,376.48 / $12,935.65	Facility		$11,978.89	$12,376.48	$12,935.65
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $11,978.89 / $12,376.48 / $12,935.65	Facility		$11,978.89	$12,376.48	$12,935.65