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Massachusetts rates for HCPCS 92928

Percutaneous transcatheter placement of intracoronary stent(s), with coronary angioplasty when performed, single major coronary artery and/or its branch(es); 1 lesion involving 1 or more coronary segments

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,663.12 / $5,100.95 / $23,003.60
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$280.04 / $280.04 / $280.04
Aetna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$112.02 / $112.02 / $112.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$560.08 / $961.59 / $2,810.95
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,317.84 / $5,097.00 / $30,922.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$30,081.88 / $30,081.88 / $30,081.88
AllWays Health Partners
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$7,520.47 / $7,520.47 / $7,520.47
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$472.40 / $1,026.31 / $3,571.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,700.00 / $14,868.13 / $20,251.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,046.72 / $1,209.64 / $1,919.25
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$565.12 / $1,174.78 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$349.50 / $649.07 / $1,024.97
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$704.92 / $1,409.84 / $2,290.98
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,996.45 / $13,352.34 / $14,462.78
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.00 / $923.62 / $1,759.99
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,386.00 / $6,078.00 / $32,453.00
Mass General Brigham
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$30,081.88 / $30,081.88 / $30,081.88
Mass General Brigham
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$7,520.47 / $7,520.47 / $7,520.47
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.90 / $1,154.85 / $3,571.80
Tufts
Facility/Professional
Facility
Modifier
Low / Median / High Price
$454.04 / $10,086.29 / $13,772.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,386.00 / $6,078.00 / $24,167.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$706.30 / $920.39 / $2,094.89