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Rhode Island 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
$2,482.05 / $3,706.14 / $5,695.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,074.00 / $7,819.00 / $17,123.00