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Washington 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 $17,783 · 10th–90th $7,079–$51,2860%5%10%10th90th$17,783Professionalmedian $16,218 · 10th–90th $3,548–$16,2180%50%10th$16,218$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
$6,456.54 / $14,125.38 / $32,359.37
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,548.13 / $16,218.10 / $16,218.10
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22,387.21 / $29,512.09 / $60,255.96
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18,620.87 / $19,498.45 / $37,153.52
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,232.93 / $47,863.01 / $83,176.38
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $75.86 / $75.86
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26,915.35 / $26,915.35 / $26,915.35
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21,877.62 / $30,199.52 / $60,255.96
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11,481.54 / $36,307.81 / $69,183.10