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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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,466.84 / $7,943.28 / $23,442.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,495.41 / $11,748.98 / $16,218.10
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $7,413.10 / $30,199.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $3.98 / $3.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,748.98 / $20,892.96 / $23,988.33
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,120.11 / $19,498.45 / $20,892.96
SummaCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,125.38 / $14,125.38 / $14,125.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,370.32 / $12,589.25 / $31,622.78