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Georgia 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
$4,808.00 / $9,893.04 / $31,634.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,842.00 / $16,192.96 / $16,192.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,258.84 / $9,046.79 / $25,198.09
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.80 / $8.01 / $8.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,105.00 / $11,616.00 / $25,173.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16,272.00 / $16,272.00 / $16,272.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,908.00 / $14,950.00 / $26,000.00