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Massachusetts rates for HCPCS 43121

Prtl Esophagec W/Wo Prox Gastrec/Pyloroplasty

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,663.12 / $2,747.00 / $4,806.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,523.64 / $2,881.55 / $4,250.85
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $2,854.00 / $41,909.92
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,434.00 / $5,255.75 / $19,801.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.00 / $680.00 / $748.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,110.46 / $4,680.93 / $9,630.84
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.00 / $3,539.25 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,124.07 / $3,947.63 / $5,798.93
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,465.22 / $6,784.90 / $8,408.86
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $2,446.00 / $50,487.52
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,665.89 / $5,582.49 / $19,801.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$822.00 / $2,733.00 / $4,256.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,476.51 / $3,967.21 / $9,224.20