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Missouri 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
$2,619.00 / $6,650.00 / $14,956.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,507.00 / $5,389.00 / $14,285.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,217.00 / $10,136.00 / $17,289.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,700.00 / $15,271.00 / $34,239.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,578.00 / $6,757.00 / $30,759.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,695.00 / $5,935.00 / $29,948.00