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New York 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
$2,626.00 / $7,235.00 / $49,978.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,626.00 / $10,152.00 / $52,676.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,731.00 / $24,910.00 / $73,118.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.03
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,064.50 / $10,129.00 / $15,193.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,219.95 / $30,469.00 / $45,917.00
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,571.00 / $20,953.00 / $20,953.00
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,726.20 / $10,726.20 / $11,845.82
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,004.00 / $30,469.00 / $44,987.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,964.00 / $13,478.00 / $39,518.00