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Massachusetts rates for HCPCS 0455T

Removal of permanently implantable aortic counterpulsation ventricular assist system; complete system (aortic counterpulsation device, vascular hemostatic seal, mechano-electrical skin interface and electrodes)

Insurance Carrier
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $5,011.87 / $5,011.87
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,709.64 / $8,709.64 / $8,709.64
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $5,011.87 / $5,011.87
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,709.64 / $8,709.64 / $8,709.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.80 / $2,754.23 / $3,715.35