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Massachusetts rates for HCPCS C9604

Percutaneous transluminal revascularization of or through coronary artery bypass graft (internal mammary, free arterial, venous), any combination of drug-eluting intracoronary stent, atherectomy and angioplasty, including distal protection when performed; single vessel

Facilitymedian $5,370 · 10th–90th $3,090–$19,4980%10%10th90th$5,370Professionalmedian $25,119 · 10th–90th $16,218–$33,8840%10%10th90th$25,119$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,090.30 / $5,128.61 / $9,549.93
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16,218.10 / $16,218.10 / $16,218.10
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,467.37 / $11,220.18 / $38,904.51
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,762.47 / $15,848.93 / $21,877.62
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$83.18 / $5,888.44 / $9,772.37
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,467.37 / $7,244.36 / $35,481.34
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19,498.45 / $26,302.68 / $33,884.42
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,467.37 / $11,220.18 / $38,904.51
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,235.94 / $7,244.36 / $35,481.34
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19,498.45 / $25,703.96 / $33,113.11