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Tennessee 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
$2,311.00 / $6,681.00 / $29,225.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,031.00 / $4,069.00 / $31,885.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,815.00 / $8,170.00 / $13,961.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,340.57 / $11,340.57 / $11,340.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,413.00 / $12,909.00 / $22,801.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,052.00 / $13,014.00 / $26,669.00