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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
$1,159.00 / $5,389.00 / $16,990.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,017.00 / $5,389.00 / $11,975.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,140.00 / $7,429.00 / $16,193.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $200.00 / $345.40
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
$204.00 / $3,399.00 / $24,971.00