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Nebraska 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
$5,463.36 / $10,431.19 / $20,928.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,161.00 / $1,556.10 / $12,765.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,547.24 / $20,448.87 / $39,554.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,242.00 / $1,775.00 / $4,406.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,031.00 / $1,775.00 / $4,406.00