HCPCS C9602: Percutaneous Transluminal Coronary Atherectomy with Drug‑Eluting Stent
Commercial payers pay $15761 on average nationally for this procedure.
HCPCS Level II code C9602 describes a percutaneous transluminal coronary atherectomy combined with placement of a drug‑eluting intracoronary stent and coronary angioplasty when performed for treatment of a single major coronary artery or branch; the service is an endovascular interventional cardiology procedure typically performed in a hospital catheterization laboratory or an outpatient cardiac catheterization suite and involves mechanical plaque removal plus stent deployment and balloon angioplasty as indicated.
For related coverage guidance, see recent payer policy updates: Cardiac Computed Tomography (CCT)/Coronary Computed Tomographic Angiography (CCTA), Cardiovascular Disease Risk Assessment, Biomarkers for Myocardial Infarction and Chronic Heart Failure.
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National Reimbursement Benchmarks
Commercial national benchmarks for HCPCS C9602 center around a BUCA average commercial rate of $15,760.90, with payers showing materially different central tendencies and ceiling values. Blue Cross Blue Shield posts the highest mean at $21,029.50 and a high maximum of $61,485.70, while Aetna’s mean is much lower at $3,613.70; Cigna averages $15,245.10 and UnitedHealth Group averages $12,617.70. These differences indicate wide variability in pricing across carriers even when the BUCA average sits near the mid-range.
Dispersion measured as P75 minus P25 highlights where rates are tightest and widest: Blue Cross Blue Shield has a dispersion of $8,497.10 ($26,483.60 - $17,985.90), reflecting the widest interquartile spread, while Aetna is the tightest at $990.80 ($1,920.80 - $933.00). Cigna’s spread is $13,188.50 ($21,424.00 - $7,235.50) and UnitedHealth Group’s spread is $11,024.00 ($17,096.60 - $5,072.10), both indicating substantial variability around their medians.