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New Jersey 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
$4,294.00 / $9,784.00 / $17,550.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13,998.00 / $16,192.96 / $16,192.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,039.00 / $42,703.00 / $49,730.00
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,984.54 / $27,571.20 / $52,581.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,066.00 / $12,619.00 / $52,056.00