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Nationwide rates for HCPCS C9604

Percutaneous transluminal revascularization of or through coronary artery bypass graft (internal mammary, free arterial, venous), any combination of drug-eluting intracoronary stent, atherectomy and angioplasty, including distal protection when performed; single vessel

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.83 / $7,585.78 / $22,387.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,073.80 / $16,218.10 / $16,218.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,888.44 / $15,848.93 / $40,738.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $3.98 / $3.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,943.28 / $18,197.01 / $39,810.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $977.24 / $977.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,715.35 / $13,803.84 / $38,904.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19,498.45 / $29,512.09 / $43,651.58