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Ohio 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
$1,160.80 / $7,204.00 / $12,615.00
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$316.54 / $580.40 / $1,026.02
Aetna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$126.61 / $232.16 / $410.41
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,097.00 / $9,287.00 / $36,529.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$628.60 / $628.60 / $915.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,613.00 / $20,065.00 / $23,000.00
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,046.00 / $19,503.00 / $21,036.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,070.00 / $9,125.00 / $31,434.00