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Massachusetts rates for HCPCS 40843

Vestibuloplasty; posterior, bilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $3,090.30 / $5,128.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,122.02 / $3,019.95
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $5,128.61 / $45,708.82
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,548.82 / $3,981.07
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $1,023.29 / $2,344.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,862.09 / $3,715.35
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $1,698.24 / $7,079.46
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.56 / $1,905.46 / $2,570.40
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $4,265.80 / $9,772.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,621.81 / $3,388.44
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,041.74 / $5,370.32 / $45,708.82
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,513.56 / $3,801.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,862.09 / $4,265.80 / $11,220.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,659.59 / $3,630.78