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Massachusetts rates for HCPCS C9764

Revascularization Endovascular Open Or Percutaneous Any Vessel(S); With Intravascular Lithotripsy Includes Angioplasty Within The Same Vessel(S) When Performed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,924.00 / $2,747.00 / $5,454.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25,971.00 / $25,971.00 / $25,971.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,089.00 / $5,904.00 / $14,018.00
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
$9,726.67 / $14,804.75 / $30,964.93
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,089.00 / $5,904.00 / $14,018.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,386.00 / $5,904.00 / $13,017.00