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South Dakota rates for HCPCS C9607

Percutaneous Transluminal Revascularization Of Chronic Total Occlusion Coronary Artery Coronaryartery 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
$912.27 / $912.27 / $4,338.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.27 / $912.27 / $16,537.27
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,541.74 / $1,929.73 / $27,947.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,571.00 / $6,571.00 / $6,571.00