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Missouri 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
$1,540.75 / $7,106.00 / $14,666.00
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$320.33 / $337.25 / $397.21
Aetna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$128.13 / $134.90 / $158.88
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,107.00 / $12,991.00 / $20,564.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,059.00 / $18,730.00 / $27,391.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$640.66 / $1,402.96 / $31,754.00
Medica
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$1,144.57 / $25,403.20 / $25,403.20
Medica
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$286.14 / $6,350.80 / $6,350.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,426.00 / $14,326.00 / $32,404.00