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Idaho rates for HCPCS C9606

Percutaneous transluminal revascularization of acute total/subtotal occlusion during acute myocardial infarction, coronary artery or coronary artery bypass graft, any combination of drug-eluting intracoronary stent, atherectomy and angioplasty, including aspiration thrombectomy when performed, single vessel

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,519.00 / $19,792.48 / $23,933.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$688.00 / $688.00 / $23,933.30
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$688.00 / $880.64 / $1,259.04
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34,874.31 / $34,874.31 / $38,452.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,700.00 / $62,445.00 / $76,459.00