go back

Wisconsin 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 $23,988 · 10th–90th $15,488–$39,8110%10%10th90th$23,988Professionalmedian $16,218 · 10th–90th $15,136–$25,1190%50%10th90th$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
$17,782.79 / $21,379.62 / $21,379.62
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16,218.10 / $16,218.10 / $25,118.86
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,218.10 / $26,915.35 / $40,738.03
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18,620.87 / $18,620.87 / $18,620.87
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,511.38 / $19,952.62 / $30,199.52
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $58.88 / $85.11
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11,748.98 / $12,882.50 / $27,542.29
Security Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$27,542.29 / $33,113.11 / $38,018.94
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,549.93 / $18,620.87 / $32,359.37