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Hawaii rates for HCPCS C9607

Percutaneous transluminal revascularization of chronic total occlusion, coronary artery, coronary artery branch, or coronary artery bypass graft, any combination of drug-eluting intracoronary stent, atherectomy and angioplasty; single vessel

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,747.00 / $8,210.00 / $10,007.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,146.59 / $1,146.59 / $1,146.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,340.00 / $3,340.00 / $3,340.00
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,885.79 / $11,671.00 / $19,500.00