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Idaho 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
$4,805.00 / $16,537.30 / $16,537.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.27 / $912.27 / $16,537.30
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.27 / $1,167.71 / $1,669.45
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31,610.23 / $44,515.87 / $57,287.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,000.00 / $62,445.00 / $76,459.00