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Massachusetts rates for HCPCS C9772

Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies), 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 / $5,048.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12,287.00 / $12,287.00 / $12,287.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,342.00 / $6,238.00 / $17,462.00
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
$20,014.91 / $29,152.17 / $47,416.49
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,342.00 / $6,238.00 / $17,462.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,485.00 / $6,474.00 / $13,737.00