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Hawaii rates for HCPCS C9602

Percutaneous transluminal coronary atherectomy, with drug eluting intracoronary stent, with coronary angioplasty when performed; single major coronary artery or branch

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,747.00 / $8,210.00 / $10,007.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.86 / $933.86 / $933.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,340.00 / $3,340.00 / $3,340.00
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,754.00 / $12,905.00 / $14,841.00