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Massachusetts rates for HCPCS 34203

Embolectomy or thrombectomy, with or without catheter; popliteal-tibio-peroneal artery, by leg incision

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $3,388.44 / $5,623.41
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $5,370.32 / $14,125.38
AllWays Health Partners
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$1,380.38 / $1,380.38 / $1,380.38
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $1,412.54 / $8,511.38
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $6,918.31 / $15,488.17
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $5,888.44 / $14,125.38
Mass General Brigham
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$1,380.38 / $1,380.38 / $1,380.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $7,244.36 / $15,488.17