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Delaware 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
$6,907.00 / $6,907.00 / $7,501.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16,192.96 / $16,192.96 / $16,192.96
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,144.65 / $28,144.65 / $28,144.65