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West 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
$1,400.00 / $1,400.00 / $3,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16,192.96 / $16,192.96 / $16,192.96
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,805.75 / $47,805.75 / $47,805.75