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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
$6,048.00 / $11,995.87 / $24,068.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,161.00 / $2,367.27 / $13,783.32
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,547.24 / $20,448.87 / $39,554.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,496.00 / $14,117.05 / $18,892.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,148.00 / $9,696.00 / $15,622.00