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Pennsylvania 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
$958.39 / $5,610.00 / $18,948.00
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$309.72 / $353.06 / $353.06
Aetna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$123.89 / $141.22 / $141.22
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,765.15 / $46,478.00 / $77,850.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,570.00 / $8,956.00 / $12,668.00
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,064.76 / $30,518.35 / $102,948.74
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,020.00 / $6,441.00 / $29,397.00
Martin's Point
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$353.06 / $353.06 / $353.06
Martin's Point
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$141.22 / $141.22 / $141.22
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,624.00 / $7,463.00 / $23,196.00
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$627.73 / $634.70 / $634.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,468.00 / $7,000.00 / $36,783.00