go back

Louisiana 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
$678.00 / $2,756.00 / $4,050.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,212.00 / $3,685.00 / $3,779.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,869.94 / $29,099.40 / $40,189.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,656.00 / $8,813.00 / $19,124.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.00 / $513.00 / $17,046.00