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Oklahoma 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
$1,248.00 / $5,946.00 / $17,600.00
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$303.86 / $303.86 / $303.86
Aetna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$121.54 / $121.54 / $121.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,628.16 / $30,959.35 / $49,267.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,516.00 / $5,516.00 / $15,917.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$607.72 / $4,134.00 / $21,347.00
Medica
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$25,403.20 / $25,403.20 / $25,403.20
Medica
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$6,350.80 / $6,350.80 / $6,350.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,570.00 / $7,307.00 / $18,862.37