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Massachusetts rates for HCPCS 0543T

Transapical mitral valve repair, including transthoracic echocardiography, when performed, with placement of artificial chordae tendineae

Facilitymedian $3,715 · 10th–90th $2,291–$7,7620%10%10th90th$3,715Professionalmedian $2,042 · 10th–90th $1,514–$3,9810%10%20%10th90th$2,042$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,290.87 / $4,265.80 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,445.44 / $1,905.46 / $2,344.23
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,023.29 / $3,388.44 / $7,244.36
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,238.72 / $3,311.31 / $11,220.18
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$83.18 / $4,897.79 / $9,772.37
Fallon Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,089.30 / $2,089.30 / $2,454.71
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,023.29 / $3,388.44 / $5,888.44
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,584.89 / $2,511.89 / $4,265.80
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,023.29 / $3,388.44 / $7,244.36
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,238.72 / $3,311.31 / $11,220.18
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,000.00 / $2,884.03 / $4,265.80
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,949.84 / $3,235.94 / $5,011.87