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Ohio 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 $7,943 · 10th–90th $3,715–$23,4420%10%10th90th$7,943Professionalmedian $11,482 · 10th–90th $5,495–$16,2180%20%10th90th$11,482$5.0$20.0$100.0$500.0$2.0K$10.0K$50.0K

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
$4,466.84 / $7,943.28 / $23,442.29
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,495.41 / $11,481.54 / $16,218.10
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,137.96 / $7,413.10 / $30,199.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $3.98 / $3.98
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11,748.98 / $20,892.96 / $23,988.33
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,882.50 / $22,387.21 / $24,547.09
SummaCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14,125.38 / $14,125.38 / $14,125.38
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,165.95 / $12,589.25 / $27,542.29