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Utah 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
$794.71 / $8,439.00 / $40,727.00
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$397.36 / $397.36 / $397.36
Aetna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$158.94 / $158.94 / $13,460.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,746.82 / $18,042.95 / $30,211.89
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,616.70 / $20,988.87 / $30,397.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,028.00 / $9,753.00 / $33,939.00