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Minnesota 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
$4,073.80 / $15,488.17 / $38,018.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,715.35 / $16,218.10 / $16,218.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,982.44 / $26,915.35 / $81,283.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $64.57 / $64.57
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,585.78 / $26,915.35 / $51,286.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $11,220.18 / $54,954.09