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Wisconsin 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 / $14,482.00 / $24,541.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.27 / $912.27 / $16,537.27
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,913.00 / $23,358.00 / $38,530.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,000.00 / $18,000.00 / $18,000.00
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.27 / $912.27 / $1,140.33
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,180.00 / $19,562.00 / $34,918.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $58.40 / $70.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.27 / $912.27 / $1,140.33
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,543.84 / $29,951.96 / $37,564.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,650.00 / $17,955.00 / $30,620.00