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Indiana 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
$1,386.00 / $4,846.00 / $7,954.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,386.00 / $1,386.00 / $1,386.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,097.10 / $27,462.00 / $30,513.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$983.00 / $3,232.00 / $28,128.00