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Massachusetts rates for HCPCS C9605

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; each additional branch subtended by the bypass graft (list separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $3,630.78 / $8,511.38
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $2,041.74 / $40,738.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,762.47 / $15,848.93 / $21,877.62
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $4,897.79 / $9,772.37
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $2,041.74 / $35,481.34
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16,982.44 / $19,498.45 / $21,379.62
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $2,041.74 / $40,738.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $1,862.09 / $32,359.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33,113.11 / $33,113.11 / $33,113.11