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Pennsylvania 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
$688.00 / $5,342.00 / $22,214.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$688.00 / $688.00 / $688.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27,959.00 / $46,478.00 / $66,617.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,570.00 / $8,956.00 / $12,668.00
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,236.21 / $7,900.78 / $9,523.20
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,013.00 / $5,868.00 / $29,664.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$688.00 / $688.00 / $7,197.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,624.00 / $7,463.00 / $23,196.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$656.00 / $3,028.00 / $32,850.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,763.18 / $7,763.18 / $7,763.18