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New Mexico 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
$2,095.00 / $5,365.00 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28,920.00 / $28,920.00 / $28,920.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,887.20 / $38,113.58 / $60,686.30
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $60.00 / $7,473.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,609.00 / $35,986.00 / $35,986.00