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Virginia 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
$1,040.17 / $6,827.70 / $26,085.00
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$305.94 / $360.62 / $840.72
Aetna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$122.37 / $144.25 / $336.29
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,104.00 / $20,665.00 / $23,706.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,495.00 / $14,985.00 / $40,100.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.22 / $722.66 / $891.29
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$611.87 / $868.86 / $1,218.88
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$648.29 / $865.62 / $16,145.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,367.00 / $15,105.00 / $33,527.00