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Opening A Long-Blocked Heart Artery

Vermont rates for HCPCS 92943

Reopens a heart artery, one of its branches, or an old bypass graft that has been completely blocked for a long time. Working through a catheter from the wrist or groin, the doctor crosses the blockage and restores flow using a balloon, a stent, or a device that shaves or drills through the hardened material. One blocked vessel is treated; a further blocked vessel opened in the same session is billed separately.

Rates data updated October 2026.

How much does Opening A Long-Blocked Heart Artery cost?

$14,254

Typical total for the visit. In Vermont, October 2026.

Insurers have agreed to pay about $14,254 for this procedure. That total is two separate charges: $1,072 to the doctor who performs it, and $13,183 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 4 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,072$891 to $1,349
Facility feeThe hospital or surgery center$13,183$2,692 to $16,982

How much rates vary

Facilitymedian $13,183 · 10th to 90th $2,692 to $17,783Professionalmedian $1,072 · 10th to 90th $708 to $1,549
$1K$2K$5K$10Kfacility $13,183professional $1,072

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$660.69
Median
$707.95
Typical High
$1,096.48
BCBS Vermont
Setting
Facility
Modifier
None
Typical Low
$13,182.57
Median
$13,182.57
Typical High
$16,982.44
Cigna
Setting
Facility
Modifier
None
Typical Low
$17,782.79
Median
$17,782.79
Typical High
$17,782.79
Cigna
Setting
Professional
Modifier
None
Typical Low
$933.25
Median
$1,288.25
Typical High
$1,348.96
United
Setting
Facility
Modifier
None
Typical Low
$2,691.53
Median
$2,691.53
Typical High
$2,691.53
United
Setting
Professional
Modifier
None
Typical Low
$891.25
Median
$1,047.13
Typical High
$2,754.23

Where Vermont sits

The same service costs 9.6 times more in Oklahoma than in Montana. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Physician feeFacility fee

Vermont· 4th of 51

$14,254

$1,072 physician + $13,183 facility

OK $19,472MT $2,030

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.