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North Carolina 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
$1,891.00 / $10,458.91 / $22,468.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,245.00 / $9,503.00 / $21,914.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,023.00 / $24,040.00 / $31,898.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,832.00 / $23,512.00 / $33,236.00
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00