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Massachusetts rates for HCPCS 92941

Percutaneous transluminal revascularization of acute total/subtotal occlusion during acute myocardial infarction, any combination of intracoronary stent, atherectomy and angioplasty, including aspiration thrombectomy when performed, single major coronary artery and/or its branches or single bypass graft and/or its subtended branches

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$627.63 / $2,747.00 / $20,000.00
Aetna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$125.53 / $125.53 / $125.53
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,478.82 / $5,385.51 / $30,922.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$6,350.80 / $6,350.80 / $6,350.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,700.00 / $14,868.13 / $20,251.00
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$635.01 / $1,320.10 / $6,679.00
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,386.00 / $6,078.00 / $31,754.00
Mass General Brigham
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$6,350.80 / $6,350.80 / $6,350.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,386.00 / $6,078.00 / $24,167.00