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Nebraska 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
$7,585.78 / $10,471.29 / $19,952.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,398.83 / $16,218.10 / $16,218.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,488.17 / $20,417.38 / $39,810.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,332.54 / $10,232.93 / $10,715.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,549.93 / $14,125.38 / $19,054.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,120.11 / $10,000.00 / $16,218.10