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Louisiana 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
$941.00 / $3,339.00 / $8,428.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,212.00 / $5,019.00 / $16,192.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,829.73 / $21,270.53 / $36,134.71
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,370.29 / $9,370.29 / $9,370.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,656.00 / $8,813.00 / $19,124.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,215.00 / $9,403.00 / $22,109.00