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Illinois 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
$1,148.15 / $5,623.41 / $15,135.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $7,762.47 / $15,848.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,677.35 / $8,317.64 / $16,218.10
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $199.53 / $346.74
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.49 / $2,089.30 / $23,442.29