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Indiana 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
$1,598.00 / $4,846.00 / $40,096.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,386.00 / $1,598.00 / $25,575.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,591.00 / $25,781.00 / $45,778.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,850.00 / $15,855.00 / $28,128.00