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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
$2,663.12 / $2,747.00 / $8,272.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$502.00 / $1,790.00 / $32,453.00
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
$83.43 / $4,618.00 / $9,239.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16,884.91 / $18,631.63 / $20,533.61
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$502.00 / $1,856.00 / $32,453.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$627.00 / $1,856.00 / $31,746.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33,226.41 / $33,226.41 / $33,226.41