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Massachusetts rates for HCPCS C9767

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,818.38 / $4,168.69 / $6,918.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15,848.93 / $15,848.93 / $15,848.93
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $6,760.83 / $20,417.38
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
$31,622.78 / $43,651.58 / $57,543.99
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
$30,902.95 / $40,738.03 / $52,480.75