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Virginia 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
$3,670.00 / $8,294.00 / $20,195.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,375.00 / $4,390.00 / $16,477.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35,411.00 / $46,725.00 / $50,621.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.02 / $8.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,495.00 / $14,985.00 / $40,100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,301.00 / $19,298.00 / $40,876.00