go back

Alaska 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
$9,332.54 / $14,125.38 / $19,054.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,715.19 / $14,125.38 / $17,782.79
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,054.61 / $19,054.61 / $19,054.61
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $60.26 / $16,218.10
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $60.26 / $60.26