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Kentucky 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
$860.00 / $4,858.00 / $14,536.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16,192.96 / $16,192.96 / $16,192.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,584.00 / $25,962.00 / $33,917.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.01 / $8.01 / $8.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,600.00 / $13,184.00 / $33,203.00