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Arkansas rates for HCPCS C9605

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; each additional branch subtended by the bypass graft (list separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,181.00 / $1,846.00 / $9,477.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,846.00 / $1,846.00 / $1,846.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,125.00 / $8,439.00 / $10,690.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.00 / $345.00 / $2,790.00