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Iowa 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
$4,964.00 / $6,955.00 / $11,668.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,224.00 / $8,224.00 / $8,224.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.00 / $15,000.00 / $15,000.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,463.00 / $17,683.18 / $34,084.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,352.00 / $13,970.00 / $23,884.54