go back

Oklahoma 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
$1,346.00 / $5,946.00 / $17,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,683.00 / $6,016.00 / $10,106.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,628.16 / $30,959.35 / $49,267.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,516.00 / $5,516.00 / $15,917.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,960.00 / $12,371.99 / $27,885.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,960.00 / $10,658.00 / $25,468.76