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Texas 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 $7,079 · 10th–90th $1,698–$25,1190%5%10%10th90th$7,079Professionalmedian $6,918 · 10th–90th $1,000–$16,2180%20%10th90th$6,918$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
$1,513.56 / $5,623.41 / $15,848.93
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,096.48 / $8,709.64 / $16,218.10
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,772.37 / $19,054.61 / $41,686.94
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,332.54 / $9,332.54 / $9,332.54
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13,489.63 / $19,054.61 / $36,307.81
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$41,686.94 / $41,686.94 / $41,686.94
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,148.15 / $4,570.88 / $16,595.87
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,412.54 / $8,709.64 / $19,952.62
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $257.04 / $269.15
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,589.25 / $19,498.45 / $45,708.82
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,786.30 / $10,964.78 / $34,673.69
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $15.85 / $15.85