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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

Facilitymedian $9,333 · 10th–90th $2,951–$64,5650%10%20%10th90th$9,333Professionalmedian $4,571 · 10th–90th $0–$16,9820%10%20%10th90th$4,571$0.0$0.5$10.0$200.0$5.0K$100.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,630.27 / $7,413.10 / $42,657.95
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,288.25 / $10,232.93 / $53,703.18
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,165.95 / $20,892.96 / $91,201.08
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.02 / $0.02 / $3.39
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $5,011.87 / $15,135.61
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18,197.01 / $25,703.96 / $53,703.18
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11,748.98 / $11,748.98 / $15,848.93
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,982.44 / $50,118.72 / $75,857.76
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,090.30 / $10,471.29 / $33,113.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $17,782.79 / $20,892.96