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Alabama 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
$1,100.00 / $1,875.00 / $2,827.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,449.67 / $13,894.72 / $18,692.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,250.00 / $11,123.00 / $13,458.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,560.00 / $7,430.00 / $26,479.00