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Massachusetts rates for HCPCS C9765

Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy, and transluminal stent placement(s), includes angioplasty within the same vessel(s), when performed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $3,715.35 / $5,623.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15,488.17 / $15,488.17 / $15,488.17
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $6,760.83 / $20,417.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,000.00 / $10,000.00 / $10,000.00
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
$2,691.53 / $6,918.31 / $20,417.38
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20,892.96 / $37,153.52 / $52,480.75
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $6,918.31 / $20,417.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $7,244.36 / $33,884.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19,498.45 / $25,703.96 / $47,863.01