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Massachusetts rates for HCPCS 40843

Vestibuloplasty Posterior Bilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,110.18 / $2,663.12 / $4,410.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$861.13 / $1,110.18 / $2,163.11
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,313.00 / $4,525.00 / $15,093.22
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$947.63 / $2,166.48 / $8,629.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,025.79 / $1,333.53 / $2,353.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,244.82 / $2,137.14 / $3,728.92
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$867.86 / $1,870.42 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,381.42 / $1,745.58 / $2,594.04
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,108.36 / $2,376.57 / $3,290.94
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,902.00 / $5,098.00 / $26,542.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.07 / $3,303.93 / $8,629.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,902.00 / $3,764.00 / $8,766.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.09 / $1,840.74 / $4,475.43